NPIMap

Organization Active NPI

Beach Side Birth Center Corona

  • Birthing Clinic/Center
  • Corona, CA
National Provider Identifier
1003205881
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
BEACH SIDE BIRTH CENTER CORONA
Practice address
1353 Old Temescal Rd
103
Corona, CA 92881-7262
Phone
(949) 215-7575
Fax
(949) 215-5757
NPI assigned
Jan 15, 2015
Organization subpart
Yes
Parent organization
BEACH CITIES MIDWIFERY & WOMEN'S HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey John Snell
Title
Office and Billing Management
Phone
(949) 215-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X CA Primary

Addresses

Primary practice location

1353 Old Temescal Rd
103
Corona, CA 92881-7262

Mailing address

24902 Moulton Pkwy
Laguna Hills, CA 92637-6403
Phone (949) 215-7575

Other names 1

  • Beach Side Birth Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beach Cities Midwifery WHC3 organizations share this tax ID, including this one
Part of
Beach Cities Midwifery WHC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24902 Moulton Pkwy
Laguna Woods, CA 92637
Phone (949) 215-1560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1003205881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 MOULTON PKWY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926376403",
            "telephone_number": "949-215-7575",
            "fax_number": "949-215-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 OLD TEMESCAL RD",
            "address_2": "103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817262",
            "telephone_number": "949-215-7575",
            "fax_number": "949-215-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SIDE BIRTH CENTER CORONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACH CITIES MIDWIFERY & WOMEN'S HEALTHCARE",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE AND BILLING MANAGEMENT",
        "authorized_official_telephone_number": "949-215-7575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Side Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.