Active NPI
Jayvon Dupree Muhammad, L.M.
- Midwife
- Sausalito, CA
National Provider Identifier
1245426063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM197
- Practice address
- 630 Drake Ave
Sausalito, CA 94965-1107 - Phone
- (415) 583-7436
- NPI assigned
- Sep 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM197 | CA | Primary |
Addresses
Primary practice location
630 Drake Ave
Sausalito, CA 94965-1107
Mailing address
826 York St
Vallejo, CA 94590-6253
Phone (415) 583-7436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM197 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Family Healing Center | Current | Accepting new patients |
Organizations & group practices 1
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.
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- Health & Wellness Coach
- Oakland, CA
- NPI 1104787779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1245426063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 YORK ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906253",
"telephone_number": "415-583-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 DRAKE AVE",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949651107",
"telephone_number": "415-583-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHAMMAD",
"first_name": "JAYVON",
"middle_name": "DUPREE",
"name_prefix": "Ms.",
"credential": "L.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-16",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sausalito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.