Modesto Natural Birth Place

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

MODESTO NATURAL BIRTH PLACE

Practice address

1608 Sunrise Ave
Ste a
Modesto, CA 95350-4678

Phone

(209) 622-0226

Fax

(209) 622-0220

NPI assigned

Sep 11, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Allison Johnson, LM

Title

Owner, Licensed Midwife

Phone

(209) 482-8682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1508314238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SUNRISE AVE",
            "address_2": "STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504678",
            "telephone_number": "209-622-0226",
            "fax_number": "209-622-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 SUNRISE AVE",
            "address_2": "STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504678",
            "telephone_number": "209-622-0226",
            "fax_number": "209-622-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO NATURAL BIRTH PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER, LICENSED MIDWIFE",
        "authorized_official_telephone_number": "209-482-8682",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto Kidney Center, Inc.
• Modesto Kidney Center, LLC
• Modesto Kidney Medical Group
• Modesto Mental Health Consultants Inc a Professional Medical Corp
• Modesto Mobility Center Inc.
• Modesto Neonatal Medical Group, Inc.
• Modesto on-Call Services, LLC
• Modesto Optometric Vision Center Inc a Professional Optometric Corp
• Modesto Orthopedic Group
• Modesto Orthopedic Medical Group

• Birthing Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Birthing Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.