Organization Active NPI

Womens OB/GYN Medical Group

  • Obstetrics & Gynecology Physician
  • Santa Rosa, CA
National Provider Identifier
1801992128
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS OB/GYN MEDICAL GROUP
Practice address
500 Doyle Park Drive
Suite 103
Santa Rosa, CA 95405-9559
Phone
(707) 579-1102
Fax
(707) 579-1386
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dona Romano
Title
Manager
Phone
(707) 579-1102

Specialties & licenses 1

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

Addresses

Primary practice location

500 Doyle Park Drive
Suite 103
Santa Rosa, CA 95405-9559

Mailing address

500 Doyle Park Drive
Suite 103
Santa Rosa, CA 95405-9559
Phone (707) 579-1102

Other identifiers 1

IdentifierTypeStateIssuer
GR0088200MedicaidCA

National Provider Directory

National Provider Directory

Locations

500 Doyle Park Dr
Ste 103
Santa Rosa, CA 95405
Phone (707) 303-8330

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1801992128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954059559",
            "telephone_number": "707-579-1102",
            "fax_number": "707-579-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954059559",
            "telephone_number": "707-579-1102",
            "fax_number": "707-579-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS OB/GYN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "DONA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-579-1102"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.