ESSE CARE SURGERY CALIFORNIA PC – NPI #1114870227
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

ESSE CARE SURGERY CALIFORNIA PC is a provider located in MARINA DEL REY, CA. NPPES has assigned the NPI number 1114870227 to ESSE CARE SURGERY CALIFORNIA PC on February 18, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESSE CARE SURGERY CALIFORNIA PC below.

NPI Profile for
ESSE CARE SURGERY CALIFORNIA PC

NPI Number
1114870227
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ESSE CARE SURGERY CALIFORNIA PC
Primary location
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292-6621
Phone: (914) 546-3461 Fax: (646) 846-2310
Mailing address
204 CORLIES AVE
PELHAM, NY 10803-1904
Phone: (914) 546-3461 Fax: (646) 846-2310
Organization Subpart
No
Authorized Official
BRANDON PROVOST
VP
Phone: (914) 546-3461
Updated
Certification Date
Feb 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.