Summit Women's and Wellness Medical Group Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SUMMIT WOMEN'S AND WELLNESS MEDICAL GROUP INC.

Practice address

10801 Foothill Blvd Ste 105
Rancho Cucamonga, CA 91730-7695

Phone

(909) 736-9091

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Shawanda Renee Obey, MDNPI 1922125442

Title

Ceo

Phone

(909) 736-9091

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shawanda Renee Obey, M.D.

  • Obstetrics & Gynecology Physician
  • Rancho Cucamonga, CA
  • NPI 1922125442
  NPD Authorized official

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1912610015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 FOOTHILL BLVD STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 FOOTHILL BLVD STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307695",
            "telephone_number": "909-736-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WOMEN'S AND WELLNESS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "OBEY",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-736-9091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Jan 4, 2023; 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.