Individual provider Active NPI

Olga Alexandra Libova, CNM

  • Advanced Practice Midwife
  • Mountain View, CA
National Provider Identifier
1316072572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1470 Issued in CA
Practice address
2485 Hospital Dr Ste 330
Mountain View, CA 94040-4103
Phone
(650) 988-7470
Fax
(650) 988-7472
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1470 CA Primary

Addresses

Primary practice location

2485 Hospital Dr Ste 330
Mountain View, CA 94040-4103

Mailing address

1220 Miramonte Ave
Mountain View, CA 94040-2943
Phone (650) 988-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000028 CA Practitioner - Certified Nurse Midwife (CNM) 1759685167 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
LPCH Medical Group Div of LucileGroup PAC ID 0840298543, 332 clinicians

Practice addresses (Care Compare)

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile CurrentSince Dec 30, 2015 Accepting new patients
Altos Oaks Medical Group Inc Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2485 Hospital Dr
Ste 330
Mountain View, CA 94040
Phone (650) 988-7470

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2900 Whipple Ave
Ste 135
Redwood City, CA 94062
Phone (650) 366-5594

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316072572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MIRAMONTE AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402943",
            "telephone_number": "650-988-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR STE 330",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404103",
            "telephone_number": "650-988-7470",
            "fax_number": "650-988-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBOVA",
        "first_name": "OLGA",
        "middle_name": "ALEXANDRA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.