Individual provider Active NPI

Andrea Rosales, MPH, CD

  • Doula
  • Los Angeles, CA
National Provider Identifier
1083489389
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
A60821036 Issued in CA
Practice address
815 S Wooster St Apt 309
Los Angeles, CA 90035-5504
Phone
(703) 795-8566
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 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 A60821036 CA Primary

Addresses

Primary practice location

815 S Wooster St Apt 309
Los Angeles, CA 90035-5504

Mailing address

815 S Wooster St Apt 309
Los Angeles, CA 90035-5504
Phone (703) 795-8566

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
A60821036CAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Maternity Services With Andrea, LLC Doula Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1083489389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S WOOSTER ST APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900355504",
            "telephone_number": "703-795-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WOOSTER ST APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900355504",
            "telephone_number": "703-795-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "ANDREA",
        "credential": "MPH, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "A60821036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.