Active NPI
Genesis OB Associates, PC
- Obstetrics & Gynecology Physician
- Vallejo, CA
National Provider Identifier
1609305077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GENESIS OB ASSOCIATES, PC
- Practice address
- 300 Hospital Dr
Vallejo, CA 94589-2574 - Phone
- (916) 330-4259
- Fax
- (916) 357-7054
- NPI assigned
- Jun 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Jacks
- Title
- Administrator
- Phone
- (916) 330-4259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
300 Hospital Dr
Vallejo, CA 94589-2574
Mailing address
4944 Windplay Dr Ste 200
El Dorado Hills, CA 95762-9310
Phone (916) 330-5259
National Provider Directory
National Provider DirectoryLocations
3941 Park Dr
Ste 20504
El Dorado Hills, CA 95762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496880000000",
"number": "1609305077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4944 WINDPLAY DR STE 200",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629310",
"telephone_number": "916-330-5259",
"fax_number": "916-357-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892574",
"telephone_number": "916-330-4259",
"fax_number": "916-357-7054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS OB ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-08",
"last_updated": "2017-06-08",
"status": "A",
"authorized_official_last_name": "JACKS",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "916-330-4259"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.