Escondido OB-GYN Medical Group, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ESCONDIDO OB-GYN MEDICAL GROUP, INC

Practice address

1955 Citracado Pkwy Ste 302
Escondido, CA 92029-4113

Phone

(760) 223-1896

Fax

(760) 233-1899

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Branislav Cizmar

Title

Managing Partner

Phone

(760) 233-1896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Karen Kohatsu

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1679517239
  NPD (past)
• Robert Trifunovic

  • Obstetrics & Gynecology Physician
  • Escondido, CA
  • NPI 1700820305
  NPD (past)
• John Richard Hannig, M.D.

  • Obstetrics Physician
  • Salem, OR
  • NPI 1336235019
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1679512024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 302",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294113",
            "telephone_number": "760-233-1896",
            "fax_number": "760-658-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 302",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294113",
            "telephone_number": "760-223-1896",
            "fax_number": "760-233-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCONDIDO OB-GYN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "CIZMAR",
        "authorized_official_first_name": "BRANISLAV",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "760-233-1896"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G547460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Escondido Imaging Center
• Escondido Intensivist Group, Inc
• Escondido Internal Medicine Inc
• Escondido Medical Investors Limited Partnership (Life Care Center of Escondido)
• Escondido Modern Dentistry, Inc
• Escondido Operations, LP (Westmont Town Court)
• Escondido Optical
• Escondido Pediatric Dentistry, a Dental Office of Dr. Christian M Fort (Escondido Pediatric Dentistry)
• Escondido Pharmacy and DME Inc
• Escondido Podiatry

• Obstetrics & Gynecology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.