Individual provider Active NPI

Tina Louise Baragiola

  • Doula
  • Wilmington, CA
National Provider Identifier
1588319099
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
540 N Marine Ave
Wilmington, CA 90744-5528
Phone
(310) 461-9638
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

540 N Marine Ave
Wilmington, CA 90744-5528

Mailing address

2243 Ximeno Ave # G
Long Beach, CA 90815-2543
Phone (310) 461-9638

Other practice location 1

2243 Ximeno Ave
Long Beach, CA 90815-2543
Phone (310) 461-9638

Other names 1

  • Tina Louise Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Wilmington Other

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Center for Counseling Doula PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1588319099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 XIMENO AVE # G",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152543",
            "telephone_number": "310-461-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445528",
            "telephone_number": "310-461-9638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2243 Ximeno Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908152543",
            "country_code": "US",
            "telephone_number": "310-461-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAGIOLA",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wilmington",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Doula Support",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Doula Support/Childbirth Education",
            "address_1": "540 N. Marine Ave.",
            "city": "Wilmington",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "LOUISE",
            "credential": "CD, SPBCPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.