Usc Obstetricians and Gynecologists, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

USC OBSTETRICIANS AND GYNECOLOGISTS, INC.

Practice address

800 Fairmount Ave
Suite 220
Pasadena, CA 91105-3150

Phone

(323) 221-3270

Fax

(323) 225-6284

NPI assigned

Jun 18, 2006

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laila I Muderspach, M.D.NPI 1306841648

Title

President/Ceo

Phone

(323) 221-3270

Specialties & licenses 5

Addresses

Other identifiers 12

Other names 1

• USC Ob/Gyn, Inc. Other name

Locations

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laila I Muderspach, M.D.

  • Gynecologic Oncology Physician
  • Los Angeles, CA
  • NPI 1306841648

  Gynecology

  NPD (past) Authorized official
• Yvonne Bohn, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
  • NPI 1417058587
  NPD (past)
• Curtis Lisante Cetrulo, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1801084462
  NPD (past)
• Ramen H Chmait, M.D.

  • Maternal & Fetal Medicine Physician
  • Pasadena, CA
  • NPI 1396744736
  NPD (past)
• Peter Stephen Conti, M.D.

  • Nuclear Radiology Physician
  • Los Angeles, CA
  • NPI 1689613762
  NPD (past)
• Linda S Cowan, M.D.

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
  • NPI 1770618589

  Obstetrics & Gynecology

  NPD (past)
• Danielle A. Diperna, MD

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013963040
  NPD (past)
• Michael J. Fassett, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1467523423
  NPD (past)
• John Louie Go, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1982643060
  NPD (past)
• Thomas M Goodwin, M.D.

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
  • NPI 1770588899
  NPD (past)
• Edward Gary Grant, M.D.

  • Body Imaging Physician
  • Los Angeles, CA
  • NPI 1063465235
  NPD (past)
• John E Gross, MD

  • Plastic and Reconstructive Surgery Physician
  • Orange, CA
  • NPI 1619900446
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1992740450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MARENGO ST",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331036",
            "telephone_number": "323-221-3270",
            "fax_number": "323-225-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "323-221-3270",
            "fax_number": "323-225-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC OBSTETRICIANS AND GYNECOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MUDERSPACH",
        "authorized_official_first_name": "LAILA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-221-3270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056155",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67024Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056154",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67025Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056151",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02127Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056150",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056153",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ01352Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHILELD",
            "identifier": "ZZZ02683Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ56147Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC Ob/Gyn, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Pasadena, CA
• Providers in Pasadena, 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 28, 2008; 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.