Organization Active NPI

Maternal Haven LLC

  • Community Health Worker
  • San Diego, CA
National Provider Identifier
1124910849
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MATERNAL HAVEN LLC
Practice address
375 Camino de la Reina Apt 247
San Diego, CA 92108-3095
Phone
(619) 289-9388
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Andrea Pichataro, CDNPI 1104711126
Title
Managing Member
Phone
(619) 289-9388

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

375 Camino de la Reina Apt 247
San Diego, CA 92108-3095

Mailing address

4660 La Jolla Village Dr Ste 100
San Diego, CA 92122-4604
Phone (619) 289-9388

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": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1124910849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 LA JOLLA VILLAGE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224604",
            "telephone_number": "619-289-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CAMINO DE LA REINA APT 247",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083095",
            "telephone_number": "619-289-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "PICHATARO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-289-9388",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.