Fair Oaks Women's Health

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G55140 Issued in CA

Legal business name

FAIR OAKS WOMEN'S HEALTH

Practice address

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2613

Phone

(626) 304-2626

Fax

(626) 585-0695

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan S Jick, M.D.NPI 1720051436

Title

Owner

Phone

(626) 304-2626

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20931/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Bryan S. Jick, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
  • NPI 1720051436
  Authorized official Same address or phone

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1700044435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "JICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-304-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G55140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyiah Viola Faber
• Hailey Puildo Fabian, BA
• Alicia M.C. Facada
• Nicole N Fahmy, PHARMD
• Fahrenheit Hospice Care, Inc.
• Kimberlyn Y Fair-Davis
• Melany Rochelle Fairley, MFT
• Fairmont Pharmacy LLC (Fairmont Pharmacy)
• Fairy Bundles Bar
• Faith & Hope Hospice Care, Inc.

• Obstetrics & Gynecology Physician in Pasadena, CA
• Providers in Pasadena, 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 Jun 27, 2022; 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.