Individual provider Active NPI

Madison Fish, MD

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1760879431
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A162818 Issued in CA
Practice address
7695 Cardinal CT Ste 240
San Diego, CA 92123-3357
Phone
(858) 277-9378
Fax
(858) 277-9370
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A162818 CA Primary

Addresses

Primary practice location

7695 Cardinal CT Ste 240
San Diego, CA 92123-3357

Mailing address

7695 Cardinal CT
Ste 240
San Diego, CA 92123-3357
Phone (858) 277-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001423 CA Practitioner - Obstetrics/Gynecology 2264734946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast OB/GYN, Inc.Group PAC ID 1850315235, 15 clinicians

Practice addresses (Care Compare)

7695 Cardinal CT
Suite 240
San Diego, CA 92123-3357
Phone (858) 277-9378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162818CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Gynecological and Obstetrical Medical Group Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
West Virginia University Hospitals, Inc. Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients
United Hospital Center, Inc Past Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 200225
Los Angeles, CA 90033
Phone (323) 225-4300

1701 E Cesar E Chavez Ave
Ste 225
Los Angeles, CA 90033
Phone (323) 225-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mfish32393@sharphealthcare.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1760879431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-277-9378",
            "fax_number": "858-277-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-277-9378",
            "fax_number": "858-277-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MADISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A162818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.