WOMENS CENTER FOR PELVIC WELLNESS, INC (NPI# 1760952576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760952576 |
| Entity Type | Organization |
| Organization Name | WOMENS CENTER FOR PELVIC WELLNESS, INC |
| Other Organization Name | WOMEN'S CENTER FOR PELVIC WELLNESS |
| Practice Address |
542 S Fair Oaks Ave Fl 2 Pasadena CA 91105 |
| Mailing Address |
Po Box 24682 Belfast ME 04915-4497 |
| Practice Telephone | 6265350832 |
| Practice Fax Number | 6265350842 |
| Mailing Telephone | 6265350832 |
| Mailing Fax Number | 6265350842 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | DAVID M KIMBLE (OWNER) |
| Authorized Official Telephone | 6265350832 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WOMEN'S CENTER FOR PELVIC WELLNESS | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Alessandro Pl Ste 420, Pasadena, CA 911053173 | 6267931710 | 6267939423 |
| Street Address |
542 S FAIR OAKS AVE FL 2 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244868 | David M Kimble | Obstetrics & Gynecology | 542 S Fair Oaks Ave Fl 2, Pasadena, CA 91105-2606 | 2005-08-31 |
| 1952545220 | Alexis May Tran | Obstetrics & Gynecology | 542 S Fair Oaks Ave Fl 2, Pasadena, CA 91105 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1578811923 | Alison Tate Md Inc | Obstetrics & Gynecology | 10 Congress St, Suite 300, Pasadena, CA 91105-3045 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
| 1225103831 | Kerrie Lynn Adams | Obstetrics & Gynecology | 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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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.