Mystical Rose Obstetrics and Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY

Practice address

577 E Elder St Ste K
Fallbrook, CA 92028-3079

Phone

(760) 983-4024

Fax

(760) 723-9010

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Shilo Stigen

Title

Chief Financial Officer

Phone

(619) 318-4798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Lynn Stigen, M.D.

  • Obstetrics & Gynecology Physician
  • Fallbrook, CA
  • NPI 1851572986
  Medicare reassignment

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1851521231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST STE K",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-983-4024",
            "fax_number": "760-723-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST STE K",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-983-4024",
            "fax_number": "760-723-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 E Elder St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920283081",
            "country_code": "US",
            "telephone_number": "760-983-4024",
            "fax_number": "760-723-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYSTICAL ROSE OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "STIGEN",
        "authorized_official_first_name": "SHILO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "619-318-4798"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Moya
• Abdul Rasheed Muhammad, CSW
• Nadalee Murray
• Steven Loran Murray, DACM L.AC
• My Imaging Center
• Marcus Nagle
• Keshini Namasivayam
• Michelle Renee Nanas, LM, CPM
• Diana Navarro-Decierdo, PPS CREDENTIAL
• Neighborhood Healthcare

• Obstetrics & Gynecology Physician in Fallbrook, CA
• Providers in Fallbrook, 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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.