Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis OBGYN Medical Group Inc

Organization Obstetrics & Gynecology Physician · NPI 1164517132

Genesis OBGYN Medical Group Inc is an Obstetrics & Gynecology Physician in Apple Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16000 Apple Valley Rd Ste C3
Apple Valley, CA 92307
Phone: (760) 946-3806
Fax: (760) 946-3809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A84253 (CA)

Record details

NPI number1164517132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Wilburn — Owner Of Medical Practice · (760) 946-3806
NPI enumeratedOctober 4, 2006
Last updated in NPPESNovember 29, 2011
Mailing address16000 Apple Valley Road, Suite C3, Apple Valley, CA 92307

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