Active NPI
La Palma OB GYN Medical Group
- Gynecology Physician
- La Palma, CA
National Provider Identifier
1790825545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 20A6917
- Legal business name
- LA PALMA OB GYN MEDICAL GROUP
- Practice address
- 5471 La Palma Ave Ste 200
La Palma, CA 90623-4702 - Phone
- (714) 670-9444
- Fax
- (714) 670-0835
- NPI assigned
- Feb 8, 2007
- 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
- Mrs. Denise Lynn Fight
- Title
- Insurance Biller
- Phone
- (562) 596-5568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 20A6917 | CA | Primary |
Addresses
Primary practice location
5471 La Palma Ave Ste 200
La Palma, CA 90623-4702
Mailing address
5471 La Palma Ave Ste 200
La Palma, CA 90623-4702
Phone (714) 670-9444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX69170 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Los Alamitos OB GYN Med GRP
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Los Alamitos, CA
- NPI 1033443148
-
- Obstetrics & Gynecology Physician
- Los Alamitos, CA
- NPI 1972919678
-
- Obstetrics & Gynecology Physician
- Los Alamitos, CA
- NPI 1639343510
Locations
5471 La Palma Ave
Ste 200
La Palma, CA 90623
Phone (714) 495-4392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790825545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 LA PALMA AVE STE 200",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906234702",
"telephone_number": "714-670-9444",
"fax_number": "714-670-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 LA PALMA AVE STE 200",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906234702",
"telephone_number": "714-670-9444",
"fax_number": "714-670-0835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA PALMA OB GYN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FIGHT",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "INSURANCE BILLER",
"authorized_official_telephone_number": "562-596-5568",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "20A6917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX69170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.