Active NPI
Taylor Danielle Marienthal, LM,CPM
- Midwife
- Costa Mesa, CA
National Provider Identifier
1063083376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 643
- Practice address
- 1001 W 17TH St
Costa Mesa, CA 92627-4512 - Phone
- (714) 878-1938
- Fax
- (714) 707-4115
- NPI assigned
- Jul 7, 2021
- 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 | 643 | CA | Primary |
Addresses
Primary practice location
1001 W 17TH St
Costa Mesa, CA 92627-4512
Mailing address
7106 E Breighton Cir
Orange, CA 92869-2317
Phone (714) 878-1938
Other practice location 1
727 W Culver Ave
Orange, CA 92868-3913
Phone (714) 878-1938
Other names 1
- Taylor Danielle Stice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dosmidwifery.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 643 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1063083376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 E BREIGHTON CIR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928692317",
"telephone_number": "714-878-1938",
"fax_number": "714-707-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 17TH ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926274512",
"telephone_number": "714-878-1938",
"fax_number": "714-707-4115"
}
],
"practiceLocations": [
{
"address_1": "727 W Culver Ave",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683913",
"country_code": "US",
"telephone_number": "714-878-1938",
"fax_number": "714-707-4115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIENTHAL",
"first_name": "TAYLOR",
"middle_name": "DANIELLE",
"credential": "LM,CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "CA",
"license": "643",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "dosmidwifery.com",
"affiliation": "N",
"address_1": "1001 W 17th St",
"city": "Costa Mesa",
"state": "CA",
"country_code": "US",
"postal_code": "926274512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "STICE",
"middle_name": "DANIELLE",
"credential": "LM, CPM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.