Ellehcal OBGYN Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

C3940420 Issued in CA

Legal business name

ELLEHCAL OBGYN INC

Practice address

577 E Elder St Ste F
Fallbrook, CA 92028-3079

Phone

(760) 645-3407

Fax

(760) 990-4523

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Enchanta L. Jenkins, M.D.

Title

Owner

Phone

(760) 909-9435

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1609319946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 S MISSION RD UNIT 429",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284006",
            "telephone_number": "760-909-9435",
            "fax_number": "760-990-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST STE F",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-645-3407",
            "fax_number": "760-990-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEHCAL OBGYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ENCHANTA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-909-9435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C3940420",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Edward Duling, DDS
• Cheryl C Duong, OD
• Deborah Ann Eakes, CPM/LM
• Sharon Lee Eastham Perry, MCD
• Thomas W Eastman, DO
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• Specialist in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.