Organization Active NPI

Pineridge Obstetrix & Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Clovis, CA
National Provider Identifier
1760916951
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PINERIDGE OBSTETRIX & GYNECOLOGY INC
Practice address
2137 Herndon Ave
Suite 102
Clovis, CA 93611-6306
Phone
(559) 466-7100
Fax
(559) 466-7102
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Israel K. Brown, MD
Title
Owner
Phone
(559) 466-7100

Specialties & licenses 1

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

Addresses

Primary practice location

2137 Herndon Ave
Suite 102
Clovis, CA 93611-6306

Mailing address

2137 Herndon Ave
Suite 102
Clovis, CA 93611-6306
Phone (559) 466-7100

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23822/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1760916951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116306",
            "telephone_number": "559-466-7100",
            "fax_number": "559-466-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116306",
            "telephone_number": "559-466-7100",
            "fax_number": "559-466-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINERIDGE OBSTETRIX & GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-466-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.