OB-GYN Place a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A82019 Issued in CA

Legal business name

OB-GYN PLACE A MEDICAL CORPORATION

Practice address

51 N 5TH Ave Ste 204
Arcadia, CA 91006-3711

Phone

(626) 358-1970

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Kumar Swaminathan

Title

Office Manager

Phone

(626) 688-3584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Bethany Kristin Clark, FNP

  • Family Nurse Practitioner
  • Fullerton, CA
  • NPI 1639953433
  Medicare reassignment Care Compare group NPD
• Prema Kothandaraman, M.D.

  • Obstetrics & Gynecology Physician
  • Arcadia, CA
  • NPI 1073556064
  Medicare reassignment Care Compare group
• Tram-Anh (Julie) Hoang Vo

  • Physician Assistant
  • Altadena, CA
  • NPI 1528634730
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1699786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 305",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079281",
            "telephone_number": "626-358-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 204",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063711",
            "telephone_number": "626-358-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN PLACE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SWAMINATHAN",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-688-3584"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A82019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen O'Hara, MS. LMFT
• Teresa A O'Neal-Payne, L.M.F.T.
• Joseph John O'Neill, D.D.S.
• Oak Medical Equipment, Inc.
• Oak Medical Supply, Inc.
• Chisato Oba, M.D.
• Jeffrey Obamogie
• Michael Ocampo
• Ramon Oceguera, M.D.
• Zoe Ogulnick, M.A.

• Obstetrics & Gynecology Physician in Arcadia, CA
• Providers in Arcadia, 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 18, 2021; 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.