ADVANCED CALIFORNIA MEDICAL CENTER, INC. – NPI #1962597807
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.

ADVANCED CALIFORNIA MEDICAL CENTER, INC. is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1962597807 to ADVANCED CALIFORNIA MEDICAL CENTER, INC. on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 11 years ago on Jul 20, 2015. 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 ADVANCED CALIFORNIA MEDICAL CENTER, INC. below.

NPI Profile for
ADVANCED CALIFORNIA MEDICAL CENTER, INC.

NPI Number
1962597807
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
ADVANCED CALIFORNIA MEDICAL CENTER, INC.
Doing Business As (dba): ADVANCED CALIFORNIA MEDICAL CENTER, INC.
Primary location
10737 CAMINO RUIZ
SUITE 114
SAN DIEGO, CA 92126-2359
Phone: (858) 578-9600 Fax: (858) 578-9065
Mailing address
1934 VIA CASA ALTA
LA JOLLA, CA 92037-5730
Phone: (858) 578-9600 Fax: (858) 578-9065
Organization Subpart
Yes - ADVANCED CALIFORNIA MEDICAL CENTER, INC. is subpart of another organization.
Authorized Official
DEENA TAJRAN
OWNER PRESIDENT
Phone: (858) 578-9600
Updated
Identifiers

Identifiers for ADVANCED CALIFORNIA MEDICAL CENTER, 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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD CA774581
OTHERBLUE SHIELD CACAZZZ65931Z
OTHERBLUE SHIELD CACAZZZ65932Z
OTHERBLUE SHIELD CACAZZZ65933Z
MEDICAIDCA00A551540
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 A55154
207R00000X
- Internal Medicine
CA A55154

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.