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CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF MAT&FET NPI 1871650341


NPI Information

NPI: 1871650341
Provider Name: CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF MAT&FET

Former Legal Business Name: CHILDREN'S ASSOCIATED MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
8010 FROST ST
SUITE 300
SAN DIEGO, CA
ZIP 92123
Phone: (858) 939-6880
Get Directions

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF MAT&FET is a maternal and fetal medicine obstetrics gynecology in San Diego, CA. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF MAT&FET NPI is 1871650341. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Children's Associated Medical Group.

The provider's business location address is:

8010 FROST ST
SUITE 300
SAN DIEGO, CA
ZIP 92123-778
Phone: (858) 939-6880

The provider's authorized official is Herbert C. Kimmons .
The authorized official title is President and has the following contact phone number (858) 966-8567.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 4/22/2008.


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 & GynecologyNo
2208000000XPediatricsNo
3207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

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
1W13774MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP PROV#
2GR0068860MEDICAIDCALIFORNIA

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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