Organization Active NPI

Contemporary OB GYN a Medical Corporation

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1609104348
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A92470 Issued in CA
Legal business name
CONTEMPORARY OB GYN A MEDICAL CORPORATION
Practice address
7695 Cardinal Court
Suite 370
San Diego, CA 92123-1781
Phone
(858) 277-1599
Fax
(858) 277-1475
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catrina M Storm
Title
Office Manager
Phone
(858) 277-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A92470 CA Primary

Addresses

Primary practice location

7695 Cardinal Court
Suite 370
San Diego, CA 92123-1781

Mailing address

5600 Shasta Daisy Trail
San Diego, CA 92130-6972
Phone (858) 277-1599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927000269 CA Part B Supplier - Clinic/Group Practice 8527184605 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

7695 Cardinal Ct
Ste 370
San Diego, CA 92123
Phone (858) 231-1104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1609104348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SHASTA DAISY TRAIL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306972",
            "telephone_number": "858-277-1599",
            "fax_number": "858-277-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL COURT",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231781",
            "telephone_number": "858-277-1599",
            "fax_number": "858-277-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY OB GYN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-277-1599"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A92470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.