GENESIS OBGYN MEDICAL GROUP INC. – NPI #1164517132
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.

GENESIS OBGYN MEDICAL GROUP INC. is a provider located in APPLE VALLEY, CA. NPPES has assigned the NPI number 1164517132 to GENESIS OBGYN MEDICAL GROUP INC. on October 04, 2006. 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.

The NPI profile was previously updated about 15 years ago on Nov 29, 2011. 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 GENESIS OBGYN MEDICAL GROUP INC. below.

NPI Profile for
GENESIS OBGYN MEDICAL GROUP INC.

NPI Number
1164517132
Enumeration Date

(more than 19 years 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
GENESIS OBGYN MEDICAL GROUP INC.
Primary location
16000 APPLE VALLEY ROAD
SUITE C3
APPLE VALLEY, CA 92307
Phone: (760) 946-3806 Fax: (760) 946-3809
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WANDA WILBURN
OWNER OF MEDICAL PRACTICE
Phone: (760) 946-3806
Updated
Identifiers

Identifiers for GENESIS OBGYN MEDICAL GROUP INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A842530
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)
CA A84253

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.