Active NPI
Lauren Slak
- Midwife
- San Clemente, CA
National Provider Identifier
1326465675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM431
- Practice address
- 1616 Calle Las Bolas
Apt D
San Clemente, CA 92672-4909 - Phone
- (808) 896-2629
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-143089 | CA | |
| Midwife | 176B00000X | LM431 | CA | Primary |
Addresses
Primary practice location
1616 Calle Las Bolas
Apt D
San Clemente, CA 92672-4909
Mailing address
1616 Calle Las Bolas
Apt D
San Clemente, CA 92672-4909
Phone (808) 896-2629
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 |
|---|---|---|---|
| L-143089 | CA | MD | Lactation Consultant (Non-RN) |
| LM431 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1326465675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CALLE LAS BOLAS",
"address_2": "APT D",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724909",
"telephone_number": "808-896-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CALLE LAS BOLAS",
"address_2": "APT D",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724909",
"telephone_number": "808-896-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAK",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-143089",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.