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

NPI Status: Active since February 14, 2007

Contact Information

11425 EL CAMINO REAL
SAN DIEGO, CA
ZIP 92130
Phone: (858) 794-6363
Fax: (858) 794-6360

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  • Organization
  • Obstetrics & Gynecology
  • Reproductive Endocrinology
  • CLIA Number: 05D0694844
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-13-2026

About SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC

This page provides the complete NPI Profile along with additional information for San Diego Fertility Center Medical Group,inc, 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 1457494361 assigned on February 2007. The practitioner's primary taxonomy code is 207VE0102X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lisa Vandolah Rn,mba (Ceo)

NPI
1457494361
Provider Name
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Entity Type
Organization
Location Address
11425 EL CAMINO REAL SAN DIEGO, CA 92130
Location Phone
(858) 794-6363
Location Fax
(858) 794-6360
Mailing Address
11425 EL CAMINO REAL SAN DIEGO, CA 92130
Mailing Phone
(858) 794-6363
Mailing Fax
(858) 794-6360
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
04-21-2022
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Women's health care providers like San Diego Fertility Center Medical Group,inc 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
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

LISA VANDOLAH RN,MBA

Authorized Official Title
CEO
Authorized Official Phone
(858) 720-3177

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
05D0694844
Facility Type
Independent
Certificate Effective Date
July 14, 2024
Certificate Expiration Date
July 13, 2026
Laboratory Director
DR. SANDY CHUAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to San Diego Fertility Center Medical Group,inc 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457494361, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 8 + 9 + 8 + 3 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457494361.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Clinic/Center (Ambulatory Surgical)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Physician Assistant (Medical)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Nurse Practitioner (Women's Health)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457494361, enumerated as an "organization" on February 14, 2007.

The provider is located at 11425 EL CAMINO REAL SAN DIEGO, CA 92130 and the phone number is (858) 794-6363.

Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.