Womens Center for Pelvic Wellness, Inc

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

Legal business name

WOMENS CENTER FOR PELVIC WELLNESS, INC

Doing business as

WOMEN'S CENTER FOR PELVIC WELLNESS

Practice address

542 S Fair Oaks Ave FL 2
Pasadena, CA 91105

Phone

(626) 535-0832

Fax

(626) 535-0842

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

David M Kimble, MDNPI 1447244868

Title

Owner

Phone

(626) 535-0832

Specialties & licenses 1

Addresses

Other names 1

• WOMEN'S CENTER FOR PELVIC WELLNESS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19395/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Kimble, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Pasadena, CA
  • NPI 1447244868
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1760952576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24682",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154497",
            "telephone_number": "626-535-0832",
            "fax_number": "626-535-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 S FAIR OAKS AVE FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-535-0832",
            "fax_number": "626-535-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Alessandro Pl Ste 420",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053173",
            "country_code": "US",
            "telephone_number": "626-793-1710",
            "fax_number": "626-793-9423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMENS CENTER FOR PELVIC WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-535-0832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kimblecenterforpelvicwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "542 S Fair Oaks Ave Fl 2",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WOMEN'S CENTER FOR PELVIC WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbie Wolfson-Sanger, PHD
• Aviva Michelle Wolfson, MS
• Kristi Wollbrink
• Women'S Diagnostic Imaging Med. Center, Inc.
• Women'S Diagnostic Imaging Medical Center Inc
• Christine K Won, M.D.
• Darunee Wonestaponpat
• Alexis D Wong, M.D.
• Alison G Wong, PHD LMFT
• Christine Wong

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.