Contra Costa Obstetrics Gynecology & Infertility Medical Group Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CONTRA COSTA OBSTETRICS GYNECOLOGY & INFERTILITY MEDICAL GROUP INC

Practice address

240 La Casa Via
100
Walnut Creek, CA 94598-4863

Phone

(925) 932-2565

Fax

(925) 930-8568

NPI assigned

Sep 20, 2006

Last updated

Aug 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elwood Lenworth Kronick, MD

Title

Chairman

Phone

(925) 932-2565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1801994330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LA CASA VIA",
            "address_2": "100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984863",
            "telephone_number": "925-932-2565",
            "fax_number": "925-930-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LA CASA VIA",
            "address_2": "100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984863",
            "telephone_number": "925-932-2565",
            "fax_number": "925-930-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA OBSTETRICS GYNECOLOGY & INFERTILITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "KRONICK",
        "authorized_official_first_name": "ELWOOD",
        "authorized_official_middle_name": "LENWORTH",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "925-932-2565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ73673Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas E. Connolly, MD
• Douglas Bradwell Connor, NP
• Jason Conrad
• Contra Costa ENT Medical Assoc
• Contra Costa Hearing Aid Center, Inc.
• Contra Costa Pathology Associates
• Contra Costa Sleep Center LLC
• Aliyah Genie Contreras
• Carlos Alberto Contreras, M.D.
• David Contreras, M.D.

• Obstetrics & Gynecology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.