Organization Active NPI

Rooted Willow Services, Inc.

  • Doula
  • Campbell, CA
National Provider Identifier
1104659598
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
ROOTED WILLOW SERVICES, INC.
Practice address
1845 S Bascom Ave Apt B08
Campbell, CA 95008-2325
Phone
(415) 723-6852
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Authorized official

Name
Stacy AvalosNPI 1255075909
Title
Owner/Doula
Phone
(408) 420-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

1845 S Bascom Ave Apt B08
Campbell, CA 95008-2325

Mailing address

1845 S Bascom Ave Apt B08
Campbell, CA 95008-2325
Phone (415) 723-6852

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1104659598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S BASCOM AVE APT B08",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082325",
            "telephone_number": "415-723-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S BASCOM AVE APT B08",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082325",
            "telephone_number": "415-723-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED WILLOW SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/DOULA",
        "authorized_official_telephone_number": "408-420-9190"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.