Aurora Medical Center of San Fernando, Inc

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

AURORA MEDICAL CENTER OF SAN FERNANDO, INC

Practice address

405 N Maclay Ave
Suite # 104
San Fernando, CA 91340-2445

Phone

(818) 361-3318

Fax

(818) 361-7309

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Long, M.D.

Title

Medical Director

Phone

(415) 244-7404

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1669680443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE",
            "address_2": "SUITE # 104",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402445",
            "telephone_number": "818-361-3318",
            "fax_number": "818-361-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MACLAY AVE",
            "address_2": "SUITE # 104",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402445",
            "telephone_number": "818-361-3318",
            "fax_number": "818-361-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL CENTER OF SAN FERNANDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-244-7404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics Physician in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.