Organization Active NPI

Nova Midwifery Services

  • Midwife
  • Oakland, CA
National Provider Identifier
1437462355
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
135 Issued in CA
Legal business name
NOVA MIDWIFERY SERVICES
Practice address
5290 College Ave Ste C
Oakland, CA 94618-2822
Phone
(925) 487-0690
Fax
(510) 655-5572
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Mason M Cornelius, LM
Title
Partner
Phone
(925) 487-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 135 CA Primary

Addresses

Primary practice location

5290 College Ave Ste C
Oakland, CA 94618-2822

Mailing address

5290 College Ave Ste C
Oakland, CA 94618-2822

National Provider Directory

National Provider Directory

Locations

5290 College Ave
Ste C
Oakland, CA 94618
Phone (510) 409-5499

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1437462355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 COLLEGE AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182822",
            "fax_number": "510-655-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 COLLEGE AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182822",
            "telephone_number": "925-487-0690",
            "fax_number": "510-655-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MIDWIFERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-487-0690",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.