Kelsey Haunani Bains, ATC, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

769 Issued in CA

Practice address

30270 Rancho Viejo Rd Ste F
San Juan Capistrano, CA 92675-1556

Phone

(818) 422-8842

NPI assigned

Apr 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1013337906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694512",
            "telephone_number": "714-628-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30270 RANCHO VIEJO RD STE F",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751556",
            "telephone_number": "818-422-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8045 E Chapman Ave",
            "address_2": "G-205",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928694512",
            "country_code": "US",
            "telephone_number": "714-628-4704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINS",
        "first_name": "KELSEY",
        "middle_name": "HAUNANI",
        "credential": "ATC, CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "030702110",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody A Bacon, PH.D.
• Ronald A. Bacon, M.A., M.DIV.
• Sandra Lee Baggett, RADT-1
• Samantha A. Bahnam
• Brynn Christin Bailey, MS, PA-C
• Carolynn Marie Baker, MA, BCBA
• Juliet Kathryne Ballard
• Thomas Byron Ballard Jr., PH.D.
• Lisa Bancroft, BCBA
• Bandera Healthcare LLC

• Midwife in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.