Individual provider Active NPI

Christina Dolores Muniz, N.M.W

  • Advanced Practice Midwife
  • Gardena, CA
National Provider Identifier
1366650137
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN001238 Issued in CA
Practice address
16402 S Vermont Ave
Gardena, CA 90247-4914
Phone
(310) 756-0198
Fax
(310) 756-0201
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 RN001238 CA Primary

Addresses

Primary practice location

16402 S Vermont Ave
Gardena, CA 90247-4914

Mailing address

1137 W 163Rd St
Gardena, CA 90247-4429
Phone (310) 756-0200

Other identifiers 1

IdentifierTypeStateIssuer
RN001238MedicaidCA

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

LicenseStateTypeSpecialty
RN001238CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica del Alma Inc. Past Accepting new patients

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366650137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 W 163RD ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474429",
            "telephone_number": "310-756-0200",
            "fax_number": "310-756-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16402 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474914",
            "telephone_number": "310-756-0198",
            "fax_number": "310-756-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "CHRISTINA",
        "middle_name": "DOLORES",
        "credential": "N.M.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "RN001238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN001238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.