Organization Active NPI

Woman to Woman Health Center

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1952364549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18315 Issued in CA
Legal business name
WOMAN TO WOMAN HEALTH CENTER
Practice address
28636 Old Town Front St
Suite #200
Temecula, CA 92590-2712
Phone
(951) 678-9152
Fax
(951) 678-9152
NPI assigned
Apr 6, 2006
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
Mr. Charles L Blommaert Jr.
Title
Director
Phone
(951) 678-9152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 18315 CA Primary

Addresses

Primary practice location

28636 Old Town Front St
Suite #200
Temecula, CA 92590-2712

Mailing address

23905 Clinton Keith Rd
Suite 114-385
Wildomar, CA 92595-7897
Phone (951) 678-9152

National Provider Directory

National Provider Directory

Locations

28636 Old Town Front St
Ste 200
Temecula, CA 92590
Phone (951) 678-9152

23905 Clinton Keith Rd
Ste 114385
Wildomar, CA 92595

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952364549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD",
            "address_2": "SUITE 114-385",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957897",
            "telephone_number": "951-678-9152",
            "fax_number": "951-678-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28636 OLD TOWN FRONT ST",
            "address_2": "SUITE #200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902712",
            "telephone_number": "951-678-9152",
            "fax_number": "951-678-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN TO WOMAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOMMAERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-678-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, 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.