Mardo Bamba Mbuyi
Individual provider Active NPI Doula · Lathrop, CA
NPI 1538074232 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1538074232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 17325 Polaris CT
Lathrop, CA 95330-8179 - Phone
- (415) 724-5643
- NPI assigned
- Aug 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula |
374J00000X | CA | Yes |
Addresses
Primary practice location
17325 Polaris CT
Lathrop, CA 95330-8179
Mailing address
17325 Polaris CT
Lathrop, CA 95330-8179
Phone (415) 724-5643
Other providers in Lathrop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.