Peter S Uzelac MD, Inc

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

A72448 Issued in CA

Legal business name

PETER S UZELAC MD, INC

Doing business as

Marin Fertility Center

Practice address

1100 S Eliseo Dr
Suite 107
Greenbrae, CA 94904-2017

Phone

(415) 925-9404

Fax

(415) 484-7045

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Peter S Uzelac, M.D

Title

Owner

Phone

(415) 925-9404

Specialties & licenses 1

Addresses

Other names 1

• Marin Fertility Center Doing business as

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1942685102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 107",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-925-9404",
            "fax_number": "415-484-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 107",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-925-9404",
            "fax_number": "415-484-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S UZELAC MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "UZELAC",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-925-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A72448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marta Patterson
• George K Paul, M.D.
• Connor William Pearce, M.S.
• Michelle Dominique Perro, M.D.
• Personaleyes, Inc (Luxton Optical)
• Peter Uzelac MD, Inc (Marin Fertility Center, Napa Valley Fertility Center)
• Mark Arthur Peterson, MD
• David Pham
• Whitney Pinger, CNM
• Pinnacle Neurology Inc

• Reproductive Endocrinology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.