Organization Active NPI

Momma Lees Douliveries

  • Doula
  • Rancho Cucamonga, CA
National Provider Identifier
1487345831
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
MOMMA LEES DOULIVERIES
Practice address
11865 Gloucester Dr
Rancho Cucamonga, CA 91730-8204
Phone
(323) 273-2654
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Mrs. Leeartric WalkerNPI 1346955846
Title
Doula
Phone
(323) 273-2654

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
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

11865 Gloucester Dr
Rancho Cucamonga, CA 91730-8204

Mailing address

8861 Baseline Rd #168
Rancho Cucamonga, CA 91730-1111
Phone (323) 273-2654

National Provider Directory

National Provider Directory

Locations

8861 Baseline Rd 168
Rancho Cucamonga, CA 91730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1487345831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 BASELINE RD #168",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301111",
            "telephone_number": "323-273-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 GLOUCESTER DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308204",
            "telephone_number": "323-273-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMA LEES DOULIVERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LEEARTRIC",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "323-273-2654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.