Active NPI
Mireille Gayle Cervelli, LM, CPM
- Midwife
- Santa Cruz, CA
National Provider Identifier
1023667193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 580
- Practice address
- 701 Mission St
Santa Cruz, CA 95060-3614 - Phone
- (831) 566-1167
- NPI assigned
- Sep 10, 2019
- Last updated
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 580 | CA | Primary |
Addresses
Primary practice location
701 Mission St
Santa Cruz, CA 95060-3614
Mailing address
101 Hagemann Ave
Santa Cruz, CA 95062-2212
Phone (831) 566-1167
Other practice location 1
967 W Hedding St
San Jose, CA 95126-1257
Phone (831) 566-1176
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1023667193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HAGEMANN AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622212",
"telephone_number": "831-566-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603614",
"telephone_number": "831-566-1167"
}
],
"practiceLocations": [
{
"address_1": "967 W Hedding St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951261257",
"country_code": "US",
"telephone_number": "831-566-1176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVELLI",
"first_name": "MIREILLE",
"middle_name": "GAYLE",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.