ADVANCED HEALTHCARE CENTER APC — NPI 1255785648 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in SAN DIEGO, CA)

CMS-1500 Box 24J / 33a • NPI

1255785648

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

10737 CAMINO RUIZ, SUITE 114, SAN DIEGO, CA, 92126-2359

✓ 9-Digit EDI 837 ZIP+4 (92126-2359)

Practice Phone & Referral Fax

(858) 578-9600

Fax: (858) 578-9065

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1255785648 (ADVANCED HEALTHCARE CENTER APC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1255785648` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED HEALTHCARE CENTER APC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	10737 CAMINO RUIZ, SUITE 114, SAN DIEGO, CA, 92126-2359
Practice Telephone / Fax	Tel: (858) 578-9600 \| Fax: (858) 578-9065
Administrative Mailing Address	1934 VIA CASA ALTA, LA JOLLA, CA, 92037-5730
Enumeration & Last Sync	Enumerated: 2016-04-21 \| CMS Record Updated: 2016-04-21
Authorized Official	DEENA TAJRAN (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10737 CAMINO RUIZ, SUITE 114, SAN DIEGO, CA, 92126-2359

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED HEALTHCARE CENTER APC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: CA \| License: `A55154` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED HEALTHCARE CENTER APC (NPI #1255785648)