Aquanatal Birth Spa, Inc.

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

AQUANATAL BIRTH SPA, INC.

Practice address

13768 Roswell Ave
#209
Chino, CA 91710-1401

Phone

(909) 591-2924

Fax

(909) 297-3428

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joyce Moxley Thomas, CPM/LICENSED MIDWIFE

Title

Executive Director

Phone

(909) 591-2924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1255579710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "#209",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-591-2924",
            "fax_number": "909-297-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "#209",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-591-2924",
            "fax_number": "909-297-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUANATAL BIRTH SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MOXLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-591-2924",
        "authorized_official_credential": "CPM/LICENSED MIDWIFE"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Birthing Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Birthing Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.