Organization Active NPI

Coastal Maternity Care, Inc.

  • Midwife
  • Pacifica, CA
National Provider Identifier
1588086136
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
225 Issued in CA
Legal business name
COASTAL MATERNITY CARE, INC.
Practice address
450 Dondee St Ste 5
Pacifica, CA 94044-3258
Phone
(415) 649-6262
Fax
(415) 649-6262
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Sharon Economides, LM, CPM, IBCLC
Title
Owner, Midwife, Lactation Consultan
Phone
(415) 649-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174N00000X L10992 CA
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 225 CA Primary

Addresses

Primary practice location

450 Dondee St Ste 5
Pacifica, CA 94044-3258

Mailing address

PO Box 743
Pacifica, CA 94044-0743
Phone (415) 649-6262

National Provider Directory

National Provider Directory

Locations

450 Dondee St
Ste 5
Pacifica, CA 94044
Phone (650) 380-0089

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1588086136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940440743",
            "telephone_number": "415-649-6262",
            "fax_number": "415-649-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 DONDEE ST STE 5",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443258",
            "telephone_number": "415-649-6262",
            "fax_number": "415-649-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MATERNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "ECONOMIDES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER, MIDWIFE, LACTATION CONSULTAN",
        "authorized_official_telephone_number": "415-649-6262",
        "authorized_official_credential": "LM, CPM, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L10992",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.