LA MESA OB GYN MEDICAL GROUP INC (NPI# 1730273830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730273830 |
| Entity Type | Organization |
| Organization Name | LA MESA OB GYN MEDICAL GROUP INC |
| Practice Address |
8851 Center Dr Ste 210 La Mesa CA 91942 |
| Practice Telephone | 6194637775 |
| Practice Fax Number | 6194634181 |
| Mailing Telephone | 6194637775 |
| Mailing Fax Number | 6194634181 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | ROBERT S SEGNIT (PRESIDENT) |
| Authorized Official Telephone | 6194637775 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHEILD | ZZZ22298Z | 01 |
| Street Address |
8851 CENTER DR STE 210 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608881 | Thomas Joseph Murphy | Obstetrics & Gynecology | 8851 Center Dr, Ste 100, La Mesa, CA 91942-3099 | 2005-06-08 |
| 1326680299 | Arielle Paamoni | Physician Assistant | 8851 Center Dr, La Mesa, CA 91942-3017 | 2019-10-11 |
| 1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
| 1902279599 | Rhealynn Sison Nofuente | Nurse Practitioner | 8851 Center Dr, #408, La Mesa, CA 91942-3017 | 2015-11-04 |
| 1770959587 | Janice Roberts | Nurse Practitioner | 8851 Center Dr, 408, La Mesa, CA 91942-3017 | 2015-08-15 |
| 1003296104 | Printuben Patel | Pharmacist | 8851 Center Dr, Ste 110, La Mesa, CA 91942-3017 | 2015-06-03 |
| 1467839506 | Alex Matosian | Dentist | 8851 Center Dr, Suite 301, La Mesa, CA 91942-3017 | 2015-04-28 |
| 1790180065 | Gioi Ngoc Smith-nguyen Md A Medical Corporation | Obstetrics & Gynecology | 8851 Center Dr, 206, La Mesa, CA 91942-3017 | 2014-10-29 |
| 1316347040 | Bryant Nguyen, Md, PC | Internal Medicine | 8851 Center Dr, Suite 304, La Mesa, CA 91942-3017 | 2014-08-29 |
| 1538571864 | Sherev Heart and Vascular Clinic, Inc. | Internal Medicine | 8851 Center Dr, Ste 304, La Mesa, CA 91942-3017 | 2014-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164528741 | Andrew Jay Gellens | Obstetrics & Gynecology | 8851 Center Dr 210, La Mesa, CA 91942 | 2006-09-15 |
| 1649364746 | Robert Scott Segnit | Obstetrics & Gynecology | 8851 Center Dr, Ste 210, La Mesa, CA 91942 | 2006-10-03 |
| 1598861171 | Joel M Berchin | Obstetrics & Gynecology | 8851 Center Dr, Ste 210, La Mesa, CA 91942 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
| 1003289919 | East Bay Gynecologic Oncology | Obstetrics & Gynecology | 105 Monte Vista Rd, Orinda, CA 94563-1619 | 2015-11-02 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
| 1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.