Organization Active NPI

Moxie Birth

  • Birthing Clinic/Center
  • South Pasadena, CA
National Provider Identifier
1073223483
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
MOXIE BIRTH
Practice address
1416 El Centro St # 100
South Pasadena, CA 91030-3202
Phone
(626) 437-7908
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Bente Kaiser, MD
Title
Owner
Phone
(213) 219-9103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

1416 El Centro St # 100
South Pasadena, CA 91030-3202

Mailing address

1416 El Centro St # 100
South Pasadena, CA 91030-3202
Phone (626) 399-0649

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2287714Moxie Birth1416 El Centro St Suite 100, South Pasadena, CA 91030Provider-performed microscopyAug 15, 2027

National Provider Directory

National Provider Directory

Locations

1416 El Centro St
#100
South Pasadena, CA 91030
Phone (626) 437-7908

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1073223483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 EL CENTRO ST # 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303202",
            "telephone_number": "626-399-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 EL CENTRO ST # 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303202",
            "telephone_number": "626-437-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE BIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "BENTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-219-9103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.