Women'S Medical Group of Upland Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A00041400 Issued in CA

Legal business name

WOMEN'S MEDICAL GROUP OF UPLAND INC.

Practice address

8263 Grove Ave Ste 204
Rancho Cucamonga, CA 91730-3107

Phone

(909) 931-1033

Fax

(909) 981-8976

NPI assigned

Dec 28, 2006

Organization subpart

Yes

Parent organization

WOMEN'S MEDICAL GROUP OF UPLAND INCAs reported in NPPES

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

Authorized official

Name

Robin Bayless

Title

Office Manager

Phone

(909) 931-1033

Specialties & licenses 1

Addresses

Other names 1

• Women's Medical Group of Upland Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Easter OB GYN Med GRP

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

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

• Kay Marie Crawford, NP

  • Family Nurse Practitioner
  • Upland, CA
  • NPI 1205115425
  Medicare reassignment NPD
• Thomas Terence Easter, M.D.

  • Gynecology Physician
  • Rancho Cucamonga, CA
  • NPI 1922038595
  Medicare reassignment NPD
• Darryl James Rodrigues, M.D.

  • Gynecology Physician
  • West Covina, CA
  • NPI 1477582781
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1962568501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE STE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-931-1033",
            "fax_number": "909-981-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE STE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-931-1033",
            "fax_number": "909-981-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1183 E Foothill Blvd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864080",
            "country_code": "US",
            "telephone_number": "909-931-1033",
            "fax_number": "909-981-8976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL GROUP OF UPLAND INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMEN'S MEDICAL GROUP OF UPLAND INC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-931-1033"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A00041400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Medical Group of Upland Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Medical Group of Upland Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Wojciechowski
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• Victoria Wolfe
• Joshua Womack
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• Alex Wong
• Chris Wong
• Corinne Francine Wong, OD
• Eric Shall-Kit Wong, DMD, MS

• 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 Mar 30, 2023; 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.

Verify at the official NPI Registry.