NPIMap

Organization Active NPI

Pacifica Family Maternity Center

  • Midwife
  • Berkeley, CA
National Provider Identifier
1336407907
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
PACIFICA FAMILY MATERNITY CENTER
Practice address
3024 Fulton St Apt B
Berkeley, CA 94705-1845
Phone
(510) 704-8366
Fax
(510) 704-8366
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Cindy HaagNPI 1184810236
Title
Founder Midwife
Phone
(510) 704-8366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

3024 Fulton St Apt B
Berkeley, CA 94705-1845

Mailing address

3024 Fulton St Apt B
Berkeley, CA 94705-1845
Phone (510) 704-8366

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Family Maternity Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1336407907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 FULTON ST APT B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051845",
            "telephone_number": "510-704-8366",
            "fax_number": "510-704-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 FULTON ST APT B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051845",
            "telephone_number": "510-704-8366",
            "fax_number": "510-704-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA FAMILY MATERNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "FOUNDER MIDWIFE",
        "authorized_official_telephone_number": "510-704-8366"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.