GENESIS OBGYN MEDICAL GROUP INC.
NPI 1164517132
Obstetrics & Gynecology in Apple Valley, CA

Q: What is Genesis Obgyn Medical Group Inc.'s NPI number?

The NPI number for Genesis Obgyn Medical Group Inc. is 1164517132. It was assigned to this organization in the NPPES registry on October 4, 2006.

Q: What is Genesis Obgyn Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since October 04, 2006

16000 APPLE VALLEY ROAD, SUITE C3, APPLE VALLEY, CA 92307(760) 946-3806(760) 946-3809 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Genesis Obgyn Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS OBGYN MEDICAL GROUP INC. (NPI 1164517132) is a healthcare organization registered as an obstetrics & gynecology in Apple Valley, California and active in the NPI registry since October 2006. The organization lists Wanda Althea Wilburn, Owner Of Medical Practice, as its authorized official.

NPPES Registry Identity

NPI1164517132

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameGENESIS OBGYN MEDICAL GROUP INC.

Location Address16000 APPLE VALLEY ROAD, SUITE C3Apple Valley, CA 92307

Mailing Address16000 Apple Valley Road, Suite C3Apple Valley, CA 92307 · (760) 946-3806 · Fax (760) 946-3809

Phone(760) 946-3806

Fax(760) 946-3809

Organization SubpartNo

Authorized OfficialWanda Althea WilburnOwner Of Medical Practice · (760) 946-3806

Enumeration DateOctober 4, 2006

Last NPPES UpdateNovember 29, 2011

✔ NPI 1164517132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A84253

Definition

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.

16000 APPLE VALLEY ROAD, Apple Valley, CA 92307

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Other Identifiers 3

Medicare UPINH08746

Medicaid00A842530CA

Medicare ID-Type UnspecifiedZZZ29535ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently 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 Genesis Obgyn Medical Group Inc.'s NPI number?

The NPI number for Genesis Obgyn Medical Group Inc. is 1164517132. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Genesis Obgyn Medical Group Inc. located?

Genesis Obgyn Medical Group Inc. is located at 16000 Apple Valley Road Suite C3, Apple Valley, CA 92307. The listed phone number is (760) 946-3806.

What is Genesis Obgyn Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Genesis Obgyn Medical Group Inc. was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.