Active NPI
Tamara M Rolan, CNM
- Advanced Practice Midwife
- Los Angeles, CA
National Provider Identifier
1467882456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236293
- Practice address
- 8635 W 3Rd St Ste 160W
Los Angeles, CA 90048-6103 - Phone
- (310) 967-8625
- Fax
- (310) 423-0140
- NPI assigned
- Nov 12, 2013
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | GCNM26137A | ID | |
| Advanced Practice Midwife | 367A00000X | 236293 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 160W
Los Angeles, CA 90048-6103
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 967-8625
Other practice location 1
520 S Eagle Rd
Suite 2110
Meridian, ID 83642-6351
Phone (208) 706-3230
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 |
|---|---|---|---|
| 236293 | CA | MD | Advanced Practice Midwife |
| GCNM26137A | ID | MD | Advanced Practice Midwife |
Interoperability endpoints
- trolan19368@direct.slhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1467882456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-967-8625",
"fax_number": "310-423-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 160W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486103",
"telephone_number": "310-967-8625",
"fax_number": "310-423-0140"
}
],
"practiceLocations": [
{
"address_1": "520 S Eagle Rd",
"address_2": "Suite 2110",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426351",
"country_code": "US",
"telephone_number": "208-706-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLAN",
"first_name": "TAMARA",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ID",
"license": "GCNM26137A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "236293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.