GEN 5 FERTILITY
NPI 1164901237
Obstetrics & Gynecology - Reproductive Endocrinology in San Diego, CA

NPI Status: Active since August 09, 2018

Contact Information

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
ZIP 92121
Phone: (858) 267-4365

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  • Organization
  • Obstetrics & Gynecology
  • Reproductive Endocrinology
  • CLIA Number: 05D2158605
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-21-2026

About GEN 5 FERTILITY

This page provides the complete NPI Profile along with additional information for Gen 5 Fertility, a women's health care provider established in San Diego, California operating as a Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1164901237 assigned on August 2018. The practitioner's primary taxonomy code is 207VE0102X with license number G68058 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Gen 5 Fertility. The authorized official of this NPI record is Samuel Wood Md (Medical Director)

NPI
1164901237
Provider Legal Name
GEN 5 FERTILITY CENTER, P.C.
Other Organization Name
GEN 5 FERTILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3420 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92121
Location Phone
(858) 267-4365
Mailing Address
3420 CARMEL MOUNTAIN RD STE 200 SAN DIEGO, CA 92121
Mailing Phone
(858) 267-4365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2018
Last Update Date
08-06-2019
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Women's health care providers like Gen 5 Fertility treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Reproductive Endocrinology

Taxonomy Code
207VE0102X
Type
Allopathic & Osteopathic Physicians
License No.
G68058
License State
CA
Taxonomy Description
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL WOOD MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(858) 267-4365

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2158605
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 22, 2024
Certificate Expiration Date
January 21, 2026
Laboratory Director
DR. CATHARINE A. ADAMS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Gen 5 Fertility on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for GEN 5 FERTILITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164901237
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124180226
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 2 + 2 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1164901237 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619076635DR. SAMUEL HORACE WOOD M.D., PH.D.
Individual
Specialist3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA 92121
(858) 267-4365
1033968672 KHADIJA DAMJI NURSE PRACTITIONER
Individual
Nurse Practitioner3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA 92121
(858) 267-4365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164901237, enumerated in the NPI registry as an "organization" on August 09, 2018

The provider is located at 3420 Carmel Mountain Rd Ste 200 San Diego, Ca 92121 and the phone number is (858) 267-4365

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology

The provider's CLIA number is 05D2158605 for a "ambulatory surgery center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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