Active NPI
Yen Ngoc Dahl, WHNP-BC, CNM
- Midwife
- Corona, CA
National Provider Identifier
1376136689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 236173
- Practice address
- 1353 Old Temescal Rd
Corona, CA 92881-7262 - Phone
- (951) 547-4208
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 236173 | CA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 95016662 | CA |
Addresses
Primary practice location
1353 Old Temescal Rd
Corona, CA 92881-7262
Mailing address
1353 Old Temescal Rd
Corona, CA 92881-7262
Phone (951) 547-4208
Other practice location 1
1881 Business Center Dr Ste 8A
San Bernardino, CA 92408-3448
Phone (909) 567-2165
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236173 | CA | MD | Midwife |
| 95016662 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Natural Birth Place 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Birthing Clinic/Center
- San Bernardino, CA
- NPI 1588011589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1376136689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 OLD TEMESCAL RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928817262",
"telephone_number": "951-547-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 OLD TEMESCAL RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928817262",
"telephone_number": "951-547-4208"
}
],
"practiceLocations": [
{
"address_1": "1881 Business Center Dr Ste 8A",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924083448",
"country_code": "US",
"telephone_number": "909-567-2165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHL",
"first_name": "YEN",
"middle_name": "NGOC",
"credential": "WHNP-BC, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "236173",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95016662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.