Organization Active NPI

Advanced OBGYN

  • Obstetrics & Gynecology Physician
  • Atascadero, CA
National Provider Identifier
1699479808
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ADVANCED OBGYN
Practice address
5750 Traffic Way
Atascadero, CA 93422-4252
Phone
(805) 461-3010
Fax
(805) 461-3020
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Carol C Spalding
Title
Practice Admin
Phone
(805) 773-3060

Specialties & licenses 1

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

Addresses

Primary practice location

5750 Traffic Way
Atascadero, CA 93422-4252

Mailing address

2 James Way Ste 106
Pismo Beach, CA 93449-4974
Phone (805) 773-3060

Other practice location 1

100 Casa St Ste D
San Luis Obispo, CA 93405-1883
Phone (805) 543-1863

National Provider Directory

National Provider Directory

Locations

100 Casa St
Ste D
Sn Luis Obisp, CA 93405
Phone (805) 543-1863

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23728/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1699479808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 106",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494974",
            "telephone_number": "805-773-3060",
            "fax_number": "805-269-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 TRAFFIC WAY",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224252",
            "telephone_number": "805-461-3010",
            "fax_number": "805-461-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Casa St Ste D",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934051883",
            "country_code": "US",
            "telephone_number": "805-543-1863",
            "fax_number": "805-543-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "805-773-3060"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.