Individual provider Active NPI

Jennifer Yamada Owen, IBCLC

  • Lactation Consultant (Non-RN)
  • Los Angeles, CA
National Provider Identifier
1326890252
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-152088
Practice address
3491 Cahuenga Blvd W Unit a
Los Angeles, CA 90068-1338
Phone
(818) 431-1118
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-152088 Primary

Addresses

Primary practice location

3491 Cahuenga Blvd W Unit a
Los Angeles, CA 90068-1338

Mailing address

27014 Sleeping Giant CT
Valencia, CA 91381-0796
Phone (818) 522-1335

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Ventures, Inc. Lactation Consultant, Non-RN CurrentSince Apr 9, 2024 Accepting new patients

Locations

3491 Cahuenga Blvd W
#A
Los Angeles, CA 90068
Phone (818) 431-1118

3415 S Sepulveda Blvd
Fl 12
Los Angeles, CA 90034

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.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1326890252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27014 SLEEPING GIANT CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810796",
            "telephone_number": "818-522-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CAHUENGA BLVD W UNIT A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681338",
            "telephone_number": "818-431-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "middle_name": "YAMADA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-152088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.