Active NPI
Moxie Birth
- Birthing Clinic/Center
- South Pasadena, CA
National Provider Identifier
1073223483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2287714 | Moxie Birth | Provider-performed microscopy | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.