Individual provider Active NPI

Monica Anne Wood, C.P.M.,L.M.

  • Midwife
  • Los Angeles, CA
National Provider Identifier
1548529886
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM335 Issued in CA
Practice address
11965 Venice Blvd Ste 307
Los Angeles, CA 90066-3977
Phone
(310) 566-7690
Fax
(310) 566-7699
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM335 CA Primary

Addresses

Primary practice location

11965 Venice Blvd Ste 307
Los Angeles, CA 90066-3977

Mailing address

11965 Venice Blvd Ste 307
Los Angeles, CA 90066-3977
Phone (310) 566-7690

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LM335CAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Sanctuary Birth & Family Wellness Center Past Accepting new patients
The Sanctuary Birth & Family Wellness Center Midwife Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1548529886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663977",
            "telephone_number": "310-566-7690",
            "fax_number": "310-566-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663977",
            "telephone_number": "310-566-7690",
            "fax_number": "310-566-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MONICA",
        "middle_name": "ANNE",
        "credential": "C.P.M.,L.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM335",
            "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 May 7, 2012; 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.