Organization Active NPI

Beach Cities Midwifery & Women'S Health

  • Midwife
  • San Clemente, CA
National Provider Identifier
1447397203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
301031 Issued in CA
Legal business name
BEACH CITIES MIDWIFERY & WOMEN'S HEALTH
Practice address
665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836
Phone
(949) 661-3101
Fax
(949) 443-5275
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa B. Sherwood, CNM, WHCNP, RN
Title
Certified Nurse Midwife
Phone
(949) 661-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 301031 CA Primary

Addresses

Primary practice location

665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836

Mailing address

665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836
Phone (949) 661-3101

Other identifiers 2

IdentifierTypeStateIssuer
301031OtherCACALIFORNIA LICENSE NUMBER
1430OtherCAMF, NMW

National Provider Directory

National Provider Directory
Tax ID family
Beach Cities Midwifery WHC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447397203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 203A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-661-3101",
            "fax_number": "949-443-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 203A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-661-3101",
            "fax_number": "949-443-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES MIDWIFERY & WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "949-661-3101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM, WHCNP, RN"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "301031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "301031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MF, NMW",
            "identifier": "1430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.