NPIMap

Organization Active NPI

First Choice Physician Partners

Doing business as Obstetrics and Gynecology at Sierra Vista

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1750716247
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FIRST CHOICE PHYSICIAN PARTNERS
Doing business as
Obstetrics and Gynecology at Sierra Vista
Practice address
77 Casa St
Suite 104
San Luis Obispo, CA 93405-5803
Phone
(805) 595-1808
Fax
(805) 595-1815
NPI assigned
Sep 4, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST CHOICE PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Ronald KaufmanNPI 1053302000
Title
Regional Cmo; Tenet
Phone
(714) 428-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

77 Casa St
Suite 104
San Luis Obispo, CA 93405-5803

Mailing address

77 Casa St
Suite 104
San Luis Obispo, CA 93405-5803
Phone (805) 541-6225

Other names 1

  • Obstetrics and Gynecology at Sierra Vista Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120710000480 CA Part B Supplier - Clinic/Group Practice 0941465322 Receives reassigned benefits from 479 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
First Choice Phys Partners17 organizations share this tax ID, including this one
Part of
First Choice Phys Partners

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 7

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1750716247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CASA ST",
            "address_2": "SUITE 104",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055803",
            "telephone_number": "805-541-6225",
            "fax_number": "805-541-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST",
            "address_2": "SUITE 104",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055803",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE PHYSICIAN PARTNERS",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "REGIONAL CMO; TENET",
        "authorized_official_telephone_number": "714-428-6812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obstetrics and Gynecology at Sierra Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.