Anissa Nishira Cornelius, LM, CPM, IBCLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

765 Issued in CA

Practice address

4545 Fanuel St
San Diego, CA 92109-2904

Phone

(858) 900-2004

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Star Birth Services

  • Advanced Practice Midwife
  • San Diego, CA
  • NPI 1518847011
  NPD Authorized official
• Via Lactea Wellness Inc

  • Lactation Consultant (Non-RN)
  • San Diego, CA
  • NPI 1508564725

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1093067274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 GOLD COAST DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263606",
            "telephone_number": "858-361-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FANUEL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092904",
            "telephone_number": "858-900-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Gold Coast Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921263606",
            "country_code": "US",
            "telephone_number": "951-347-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "ANISSA",
        "middle_name": "NISHIRA",
        "credential": "LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-314425",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Cornejo
• Paula Cornejo
• Jezreel Mejia Cornel
• Christopher B. Cornelissen, D.O.
• Stephanie Cornelius-Ostrander
• Cynthia Mary Cornelius, MD
• Cornell & Associates Marriage and Family Therapy
• Caitlyn Elizebeth Cornell, N.P.
• Jennifer Cornell, N.D.
• Lorenzo Cornell

• Midwife in San Diego, CA
• Providers in San Diego, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.