Organization Active NPI

Big Valley Midwives

  • Midwife
  • Modesto, CA
National Provider Identifier
1386156164
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
BIG VALLEY MIDWIVES
Practice address
509 13TH St Ste 2
Modesto, CA 95354-2444
Phone
(209) 521-7981
NPI assigned
Nov 1, 2017
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Brooke N Myung, LMNPI 1740502756
Title
Partner
Phone
(209) 521-7981

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
Midwife 176B00000X NU Primary

Addresses

Primary practice location

509 13TH St Ste 2
Modesto, CA 95354-2444

Mailing address

509 13TH St Ste 2
Modesto, CA 95354-2444
Phone (209) 521-7981

National Provider Directory

National Provider Directory

Locations

509 13th St
Ste 2
Modesto, CA 95354
Phone (209) 521-7981

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": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1386156164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 13TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542444",
            "telephone_number": "209-521-7981",
            "fax_number": "209-336-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 13TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542444",
            "telephone_number": "209-521-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG VALLEY MIDWIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "MYUNG",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-521-7981",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.