Organization Active NPI

MGM Lactation, Inc.

  • Lactation Consultant (Registered Nurse)
  • Pasadena, CA
National Provider Identifier
1154189017
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
MGM LACTATION, INC.
Practice address
1250 S Orange Grove Blvd Apt 6
Pasadena, CA 91105-3352
Phone
(310) 683-3247
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mirlo McAlister, RN, PHN, IBCLCNPI 1568723633
Title
Owner
Phone
(310) 683-3247

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
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

1250 S Orange Grove Blvd Apt 6
Pasadena, CA 91105-3352

Mailing address

1250 S Orange Grove Blvd Apt 6
Pasadena, CA 91105-3352
Phone (310) 683-3247

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1154189017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S ORANGE GROVE BLVD APT 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053352",
            "telephone_number": "310-683-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S ORANGE GROVE BLVD APT 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053352",
            "telephone_number": "310-683-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM LACTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MCALISTER",
        "authorized_official_first_name": "MIRLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-683-3247",
        "authorized_official_credential": "RN, PHN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.