Organization Active NPI

Santa Fe Springs Female Medical Clinic

  • Obstetrics Physician
  • Whittier, CA
National Provider Identifier
1891919619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A21180 Issued in CA
Legal business name
SANTA FE SPRINGS FEMALE MEDICAL CLINIC
Practice address
13345 Telegraph Rd Ste M
Whittier, CA 90605-3281
Phone
(562) 777-7062
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth R Purdom II, M.D.
Title
Owner
Phone
(562) 777-7062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X A21180 CA Primary

Addresses

Primary practice location

13345 Telegraph Rd Ste M
Whittier, CA 90605-3281

Mailing address

PO Box 9151
Whittier, CA 90608-9151
Phone (562) 777-7062

Other identifiers 1

IdentifierTypeStateIssuer
00A211802MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Springs Female Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

13345 Telegraph Rd
Ste M
Whittier, CA 90605
Phone (562) 777-7062

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891919619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9151",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906089151",
            "telephone_number": "562-777-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13345 TELEGRAPH RD STE M",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053281",
            "telephone_number": "562-777-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE SPRINGS FEMALE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURDOM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-777-7062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A21180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A211802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.