Active NPI
Pacific OB-GYN, Midwifery & Nursing Corp
- Family Medicine Physician
- Eureka, CA
National Provider Identifier
1760812499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PACIFIC OB-GYN, MIDWIFERY & NURSING CORP
- Practice address
- 3200 Walford Ave Ste B
Eureka, CA 95503-4828 - Phone
- (707) 445-3443
- Fax
- (707) 445-1848
- NPI assigned
- Nov 15, 2013
- 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
- Elizabeth W O Brien, NP, RN, NPF, MIDWIFE
- Title
- President
- Phone
- (707) 498-8022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Gynecology Physician | 207VG0400X | |||
| Obstetrics Physician | 207VX0000X | |||
| Physician Assistant | 363A00000X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | |||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
3200 Walford Ave Ste B
Eureka, CA 95503-4828
Mailing address
3200 Walford Ave # B
Eureka, CA 95503-4828
Phone (707) 498-8022
Other names 1
- Pacific OB-GYN and Midwifery Center
National Provider Directory
National Provider DirectoryLocations
3200 Walford Ave
#B
Eureka, CA 95503
3200 Walford Ave
Ste B
Eureka, CA 95503
Phone (707) 445-3443
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Eureka, CA
- NPI 1023133790
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1760812499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WALFORD AVE # B",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034828",
"telephone_number": "707-498-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 WALFORD AVE STE B",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034828",
"telephone_number": "707-445-3443",
"fax_number": "707-445-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC OB-GYN, MIDWIFERY & NURSING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "O BRIEN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-498-8022",
"authorized_official_credential": "NP, RN, NPF, MIDWIFE"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific OB-GYN and Midwifery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.