DOCTORS OF OBGYN MEDICAL CORPORATION
NPI 1053458828
Obstetrics & Gynecology in Fountain Valley, CA
About Doctors Of Obgyn Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOCTORS OF OBGYN MEDICAL CORPORATION (NPI 1053458828), doing business as No, is a healthcare organization registered as an obstetrics & gynecology in Fountain Valley, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Jamie E Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Doctors Of Obgyn Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Doctors Of Obgyn Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2326487
Doctor Of Obgyn Medical Corporation · Fountain Valley, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Doctors Of Obgyn Medical Corporation's NPI number?
The NPI number for Doctors Of Obgyn Medical Corporation is 1053458828. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider was formerly known as No.
Where is Doctors Of Obgyn Medical Corporation located?
Doctors Of Obgyn Medical Corporation is located at 8700 Warner Ave Suite 160, Fountain Valley, CA 92708. The listed phone number is (714) 848-2383.
What is Doctors Of Obgyn Medical Corporation's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Doctors Of Obgyn Medical Corporation enrolled in Medicare?
Yes. Doctors Of Obgyn Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Doctors Of Obgyn Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Doctors Of Obgyn Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Doctors Of Obgyn Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Doctors Of Obgyn Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2326487) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Doctors Of Obgyn Medical Corporation was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Doctors Of Obgyn Medical Corporation · NPI 1053458828
Obstetrics & Gynecology organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1053458828 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Jamie Kim, PRESIDENT
## Practice location
- **Address:** 8700 WARNER AVE, SUITE 160, Fountain Valley, CA 92708-3207
- **Phone:** (714) 848-2383 · **Fax:** (714) 848-4083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2008
- **Other identifiers:** Other 1053458828 (CA); Other 1225187388 (CA); Medicare PIN W15938 (CA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053458828) · Data from the CMS NPPES public registry.