Obstetrics & Gynecology Medical

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OBSTETRICS & GYNECOLOGY MEDICAL

Practice address

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476

Phone

(818) 790-8121

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Aragon

Title

Billing

Phone

(818) 790-8121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon E. Nelson, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, CA
  • NPI 1629044417
  Medicare reassignment Care Compare group NPD
• Ronald Duayne Woodard, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, CA
  • NPI 1609843259
  Medicare reassignment Care Compare group NPD
• Leslie Joana Korostoff, MD

  • Specialist
  • Glendale, CA
  • NPI 1417096959
  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1821141185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-790-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-790-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "818-790-8121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Family Medicine Inc
• Kolleen Obannon Henderson, NP
• Rachel Obbard
• Fernanda Obeso
• Robert Obrien, HIS
• Erika Ocampo
• Milena Ocampo
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
• Ocean View Health Care Inc
• Ocean View Home Health

• Specialist in Glendale, CA
• Providers in Glendale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.