Individual provider Active NPI

Alyssa Nicole Damasdi

  • Doula
  • Galt, CA
National Provider Identifier
1013613090
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
GNB32022-03034 Issued in CA
Practice address
9873 Harvey Rd # B
Galt, CA 95632-8862
Phone
(209) 816-9196
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X GNB32022-03034 CA Primary

Addresses

Primary practice location

9873 Harvey Rd # B
Galt, CA 95632-8862

Mailing address

9873 Harvey Rd # B
Galt, CA 95632-8862
Phone (209) 816-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GNB32022-03034CAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1013613090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 HARVEY RD # B",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328862",
            "telephone_number": "209-816-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9873 HARVEY RD # B",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328862",
            "telephone_number": "209-816-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASDI",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "GNB32022-03034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.