Active NPI
Nova Midwifery Services
- Midwife
- Oakland, CA
National Provider Identifier
1437462355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 135
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 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 DirectoryLocations
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.