Individual provider Active NPI

Chantal Sandy Davis, CNM

  • Advanced Practice Midwife
  • Oakland, CA
National Provider Identifier
1235880824
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236218 Issued in CA
Practice address
7677 Oakport St
Oakland, CA 94621-1929
Phone
(510) 437-4800
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95018771 CA
Advanced Practice Midwife 367A00000X 31423 TN
Doula 374J00000X
Advanced Practice Midwife 367A00000X 236218 CA Primary

Addresses

Primary practice location

7677 Oakport St
Oakland, CA 94621-1929

Mailing address

1100 Webster St Apt 756
Oakland, CA 94607-4647

Other practice location 1

1203 Poplar Ave
Memphis, TN 38104-7241
Phone (901) 274-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220719003443 TN Practitioner - Certified Nurse Midwife (CNM) 3678954872 Reassigns benefits to 1 organization
I20230427001952 CA Practitioner - Certified Nurse Midwife (CNM) 3678954872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

7450 International Blvd
Oakland, CA 94621-2806
Phone (510) 430-9401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95018771CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Mar 31, 2023 Accepting new patients
Alameda Health System CurrentSince Mar 31, 2023 Accepting new patients
Alameda Health System Current Accepting new patients
Choices Medical Services, PC Current Accepting new patients
Memphis Center for Reproductive Health Advanced Practice Midwife CurrentSince Jun 27, 2022 Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1203 Poplar Ave
Memphis, TN 38104
Phone (901) 274-3550

Interoperability endpoints

  • Direct secure messaging: cdavis751684@direct.ochin.org
  • Direct secure messaging: cdavis60938@alamedahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1235880824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WEBSTER ST APT 756",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 OAKPORT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211929",
            "telephone_number": "510-437-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047241",
            "country_code": "US",
            "telephone_number": "901-274-3550",
            "fax_number": "901-274-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHANTAL",
        "middle_name": "SANDY",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95018771",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "31423",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.