Expressly Yours Lactation Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPRESSLY YOURS LACTATION SERVICE

Practice address

4452 Village Knoll Dr
Santa Maria, CA 93455-4012

Phone

(805) 937-9717

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Lisa A Marasco, MA IBCLC

Title

Owner

Phone

(805) 937-9717

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144435959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 VILLAGE KNOLL DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554012",
            "telephone_number": "805-937-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 VILLAGE KNOLL DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554012",
            "telephone_number": "805-937-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSLY YOURS LACTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARASCO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-937-9717",
        "authorized_official_credential": "MA IBCLC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02212F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Evans, MD
• Robert William Evans Jr., D.D.S.
• Avery Everling
• Alyce May Ewen, MPT
• Craig Ewert
• Sandra Maclean Fahey, LMFT
• Wafik Nasri Fahmy, RPH
• Andrew M. Fairburn, PA-C
• Samuel Fajardo
• Sarah Fakih, PA-C

• Durable Medical Equipment & Medical Supplies in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.