SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
NPI 1457494361
Obstetrics & Gynecology - Reproductive Endocrinology in San Diego, CA

Q: What is San Diego Fertility Center Medical Group,inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Active since February 14, 2007CLIA 05D0694844 · Accreditation

11425 EL CAMINO REAL, SAN DIEGO, CA 92130(858) 794-6363(858) 794-6360 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About San Diego Fertility Center Medical Group,inc NPPES

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

SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC (NPI 1457494361) is a healthcare organization registered as a reproductive endocrinology in San Diego, California and active in the NPI registry since February 2007. The organization holds an CLIA Accreditation certificate valid through July 13, 2028 and lists Lisa Vandolah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457494361

Entity TypeOrganization

Primary Taxonomy207VE0102X

Legal Business NameSAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC

Location Address11425 EL CAMINO REALSan Diego, CA 92130-2045

Mailing Address11425 El Camino RealSan Diego, CA 92130-2045 · (858) 794-6363 · Fax (858) 794-6360

Phone(858) 794-6363

Fax(858) 794-6360

Organization SubpartNo

Authorized OfficialLisa VandolahCeo · (858) 720-3177

Enumeration DateFebruary 14, 2007

Last NPPES UpdateApril 21, 20222 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1457494361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

11425 EL CAMINO REAL, San Diego, CA 92130

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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

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 Accreditation 05D0694844

San Diego Fertility Center · San Diego, CA

Active · expires Jul 13, 2028

CLIA Number05D0694844

Laboratory TypeIndependent

Certificate Effective DateJuly 14, 2026

Certificate Expiration DateJuly 13, 2028

Laboratory DirectorDr. Sandy Chuan

Laboratory Phone(858) 794-6363

Laboratory LocationSan Diego Fertility Center11425 El Camino Real, San Diego, CA 92130

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEL MAR SURGERY CENTER

Clinic/Center (Ambulatory Surgical)