Active NPI
Genesis Center for Womens Health Inc
- Obstetrics & Gynecology Physician
- Roseville, CA
National Provider Identifier
1851993224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GENESIS CENTER FOR WOMENS HEALTH INC
- Practice address
- 151 N Sunrise Ave Ste 1411
Roseville, CA 95661-2934 - Phone
- (279) 888-6900
- Fax
- (279) 888-6901
- NPI assigned
- Nov 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lystra Bonnie Wilson-Celestine, MD, MPH
- Title
- Member
- Phone
- (279) 888-6900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
151 N Sunrise Ave Ste 1411
Roseville, CA 95661-2934
Mailing address
151 N Sunrise Ave Ste 1411
Roseville, CA 95661-2934
Phone (279) 888-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/22877/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Grass Valley, CA
- NPI 1003034018
-
- Naturopath
- Roseville, CA
- NPI 1609521657
-
- Family Nurse Practitioner
- Roseville, CA
- NPI 1275302259
-
- Family Nurse Practitioner
- Sacramento, CA
- NPI 1417676487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1851993224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE STE 1411",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612934",
"telephone_number": "279-888-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE STE 1411",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612934",
"telephone_number": "279-888-6900",
"fax_number": "279-888-6901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS CENTER FOR WOMENS HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-11",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "WILSON-CELESTINE",
"authorized_official_first_name": "LYSTRA",
"authorized_official_middle_name": "BONNIE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "279-888-6900",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.