1. Home
  2. Directory
  3. California
  4. Moreno Valley
  5. Obstetrics Gynecology
  6. NPI Profile

FRIENDLY OB GYN MEDICAL GROUP INC
NPI 1821081647
Obstetrics & Gynecology in Moreno Valley, CA

Active since August 26, 2005CLIA 05D0993345 · Waiver
12810 HEACOCK ST STE B105, MORENO VALLEY, CA 92553(951) 485-9133 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Friendly Ob Gyn Medical Group Inc NPPES

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

FRIENDLY OB GYN MEDICAL GROUP INC (NPI 1821081647) is a healthcare organization registered as an obstetrics & gynecology in Moreno Valley, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Sudhakar Dixit, Owner, as its authorized official.

NPPES Registry Identity

NPI1821081647
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFRIENDLY OB GYN MEDICAL GROUP INC
Location Address12810 HEACOCK ST STE B105Moreno Valley, CA 92553-3171
Mailing Address12810 Heacock St Ste B105Moreno Valley, CA 92553-3171 · (951) 485-9133
Phone(951) 485-9133
Organization SubpartNo
Authorized OfficialSudhakar DixitOwner · (951) 485-9133
Enumeration DateAugust 26, 2005
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1821081647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed · G71778
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.
12810 HEACOCK ST STE B105, Moreno Valley, CA 92553
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINF40047
MedicaidGR0089981CA
MedicaidGR0089982CA
Medicare ID-Type Unspecified00G717780CA
MedicaidGR0089980CA

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 Waiver 05D0993345

Friendly Ob/Gyn Medical Group Inc · Moreno Valley, CA
Active · expires May 13, 2028
CLIA Number05D0993345
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorSudhakar Dixit MD
Laboratory Phone(951) 485-9133
Laboratory LocationFriendly Ob/Gyn Medical Group Inc12810 Heacock St Ste B105, Moreno Valley, CA 92553
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Friendly Ob Gyn Medical Group Inc's NPI number?

The NPI number for Friendly Ob Gyn Medical Group Inc is 1821081647. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Friendly Ob Gyn Medical Group Inc located?

Friendly Ob Gyn Medical Group Inc is located at 12810 Heacock St Ste B105, Moreno Valley, CA 92553. The listed phone number is (951) 485-9133.

What is Friendly Ob Gyn Medical Group Inc's specialty?

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

Does Friendly Ob Gyn Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0993345) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Friendly Ob Gyn Medical Group Inc was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.