NPIMap

Organization Active NPI

OB/GYN University Associates- Fountain Valley

  • Health Service Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1821488438
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY
Practice address
11190 Warner Ave
Suite 402
Fountain Valley, CA 92708-4019
Phone
(714) 556-3902
Fax
(714) 432-1367
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Roger L. Crumley, MD
Title
Interim President
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

11190 Warner Ave
Suite 402
Fountain Valley, CA 92708-4019

Mailing address

PO Box 513980
Los Angeles, CA 90051-3980
Phone (714) 456-6431

National Provider Directory

National Provider Directory
Tax ID family
OBGYN Associates- Saddleback9 organizations share this tax ID, including this one
Part of
Uci Student Health Center Pharmacy

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11190 Warner Ave
Ste 402
Fountain Valley, CA 92708
Phone (714) 556-3902

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1821488438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513980",
            "telephone_number": "714-456-6431",
            "fax_number": "714-456-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 402",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-556-3902",
            "fax_number": "714-432-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN UNIVERSITY ASSOCIATES- FOUNTAIN VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "CRUMLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.