OrganizationActive
Genesis Obgyn Medical Group Inc.
NPI 1164517132 · Obstetrics & Gynecology Physician · Apple Valley, CA
Provider details
- NPI number
- 1164517132
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wanda Wilburn, Owner of Medical Practice(760) 946-3806
- License
- A84253 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16000 Apple Valley Road
Suite C3
Apple Valley, CA 92307
Phone: (760) 946-3806
Fax: (760) 946-3809
Street-level locationGet directions
Mailing address
16000 Apple Valley Road
Apple Valley, CA 92307
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2011-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.