Active NPI
Womens Health Center
- Gynecology Physician
- Fort Bragg, CA
National Provider Identifier
1710017371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G229470
- Legal business name
- WOMENS HEALTH CENTER
- Practice address
- 850 Sequoia Cir
Fort Bragg, CA 95437-5490 - Phone
- (707) 964-0259
- Fax
- (707) 964-0765
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric I Gutnick, M.D.
- Title
- Owner Partnership
- Phone
- (707) 964-0259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G229470 | CA | Primary |
Addresses
Primary practice location
850 Sequoia Cir
Fort Bragg, CA 95437-5490
Mailing address
850 Sequoia Cir
Fort Bragg, CA 95437-5490
Phone (707) 964-0259
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCP53847F | Medicaid | CA | |
| G229470 | Other | CA | ERIC GUTNICKS LICENSE |
| YYY48956Y | Medicaid | CA | |
| RHM53847F | Medicaid | CA | |
| G19197 | Other | CA | KEEVAN ABRAMSON LICENSE |
National Provider Directory
National Provider DirectoryLocations
850 Sequoia Cir
#B
Fort Bragg, CA 95437
Phone (707) 964-0259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1710017371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 SEQUOIA CIR",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375490",
"telephone_number": "707-964-0259",
"fax_number": "707-964-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 SEQUOIA CIR",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375490",
"telephone_number": "707-964-0259",
"fax_number": "707-964-0765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GUTNICK",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER PARTNERSHIP",
"authorized_official_telephone_number": "707-964-0259",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G229470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BCP53847F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ERIC GUTNICKS LICENSE",
"identifier": "G229470",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY48956Y",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM53847F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEEVAN ABRAMSON LICENSE",
"identifier": "G19197",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.