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PREMIER OB GYN NAPA INC NPI 1134530405


NPI Information

NPI: 1134530405
Provider Name: PREMIER OB GYN NAPA, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D2087752

Address:
3030 BEARD RD
NAPA, CA
ZIP 94558
Phone: (516) 270-7518
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PREMIER OB GYN NAPA, INC is an obstetrics gynecology in Napa, CA. The provider is 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. PREMIER OB GYN NAPA, INC NPI is 1134530405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 BEARD RD
NAPA, CA
ZIP 94558-490
Phone: (516) 270-7518
Fax: (707) 257-2006

The provider's authorized official is Rebecca Levy Gantt .
The authorized official title is Owner/physician and has the following contact phone number (516) 270-7518.

The CLIA number assigned to this NPI record is 05D2087752 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2014 and was last updated on 5/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology20A8707CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
143G431MEDICARE PINNEW YORK
2G54340MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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