Organization Active NPI

Rancho OB/GYN

  • Obstetrics & Gynecology Physician
  • Murrieta, CA
National Provider Identifier
1629162250
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RANCHO OB/GYN
Doing business as
Rancho OB/GYN
Practice address
25395 Hancock Ave Ste 210
Murrieta, CA 92562-9054
Phone
(951) 600-7066
Fax
(951) 600-7783
NPI assigned
Oct 3, 2006
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. Hannah Shehata, MDNPI 1285167395
Title
Ceo
Phone
(951) 600-7066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

25395 Hancock Ave Ste 210
Murrieta, CA 92562-9054

Mailing address

25395 Hancock Ave Ste 210
Murrieta, CA 92562-9054
Phone (951) 600-7066

Other names 1

  • Rancho OB/GYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000664 CA Part B Supplier - Clinic/Group Practice 6305855388 Receives reassigned benefits from 4 practitioners
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1629162250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25395 HANCOCK AVE STE 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629054",
            "telephone_number": "951-600-7066",
            "fax_number": "951-600-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25395 HANCOCK AVE STE 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629054",
            "telephone_number": "951-600-7066",
            "fax_number": "951-600-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO OB/GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-600-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.