SOUTHERN CALIFORNIA CENTER FOR ADVANCED GYNECOLOGY
NPI 1225793235
Obstetrics & Gynecology in Fountain Valley, CA

Active since November 04, 2021
11100 WARNER AVE STE 116, FOUNTAIN VALLEY, CA 92708(657) 356-1281(310) 602-6190 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 22, 2022, Aug 30, 2022, Nov 4, 2021 (3 updates tracked since 2021).

About Southern California Center For Advanced Gynecology NPPES

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

SOUTHERN CALIFORNIA CENTER FOR ADVANCED GYNECOLOGY (NPI 1225793235) is a healthcare organization registered as an obstetrics & gynecology in Fountain Valley, California and active in the NPI registry since November 2021. The organization lists Salman N. M. Okour, President, as its authorized official.

NPPES Registry Identity

NPI1225793235
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN CALIFORNIA CENTER FOR ADVANCED GYNECOLOGY A MEDICAL CORP
Location Address11100 WARNER AVE STE 116Fountain Valley, CA 92708-7500
Mailing Address3010 Beard RdNapa, CA 94558-3442 · (707) 255-8825 · Fax (707) 252-9325
Fax(310) 602-6190
Organization SubpartNo
Authorized OfficialSalman N. M. OkourPresident · (310) 367-3648
Enumeration DateNovember 4, 2021
Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1225793235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
11100 WARNER AVE STE 116, Fountain Valley, CA 92708

Other Names 1

Doing Business AsSouthern California Center For Advanced Gynecology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Center For Advanced Gynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern California Center For Advanced Gynecology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1265691505
11100 WARNER AVE STE 116
Fountain Valley, CA 92708
(657) 356-1281
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern California Center For Advanced Gynecology A Medical Corp's NPI number?

The NPI number for Southern California Center For Advanced Gynecology A Medical Corp is 1225793235. It was assigned to this organization in the NPPES registry on November 4, 2021. The provider is doing business as Southern California Center For Advanced Gynecology.

Where is Southern California Center For Advanced Gynecology A Medical Corp located?

Southern California Center For Advanced Gynecology A Medical Corp is located at 11100 Warner Ave Ste 116, Fountain Valley, CA 92708. The listed phone number is (657) 356-1281.

What is Southern California Center For Advanced Gynecology A Medical Corp's specialty?

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

Is Southern California Center For Advanced Gynecology A Medical Corp enrolled in Medicare?

Yes. Southern California Center For Advanced Gynecology A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Center For Advanced Gynecology A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Southern California Center For Advanced Gynecology A Medical Corp. 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.

When was this NPI record last updated?

The NPPES record for Southern California Center For Advanced Gynecology A Medical Corp was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.