Active NPI
Mary Pomeroy See, IBCLC
- Lactation Consultant (Non-RN)
- Tehachapi, CA
National Provider Identifier
1609417476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-108670
- Practice address
- 30520 Rollingoak Dr
Tehachapi, CA 93561-8518 - Phone
- (310) 883-4131
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-108670 | CA | Primary |
Addresses
Primary practice location
30520 Rollingoak Dr
Tehachapi, CA 93561-8518
Mailing address
30520 Rollingoak Dr
Tehachapi, CA 93561-8518
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Fax | ||
| Other URL | Fax | ||
| Other URL | Fax | ||
| Other URL | Fax | ||
| Other URL | Fax |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-108670 | CA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1609417476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30520 ROLLINGOAK DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935618518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30520 ROLLINGOAK DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935618518",
"telephone_number": "310-883-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEE",
"first_name": "MARY",
"middle_name": "POMEROY",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-108670",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fax",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "30520 Rollingoak Dr",
"city": "Tehachapi",
"state": "CA",
"country_code": "US",
"postal_code": "935618518",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fax",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "30520 Rollingoak Dr",
"city": "Tehachapi",
"state": "CA",
"country_code": "US",
"postal_code": "935618518",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fax",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "30520 Rollingoak Dr",
"city": "Tehachapi",
"state": "CA",
"country_code": "US",
"postal_code": "935618518",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fax",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "30520 Rollingoak Dr",
"city": "Tehachapi",
"state": "CA",
"country_code": "US",
"postal_code": "935618518",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fax",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "30520 Rollingoak Dr",
"city": "Tehachapi",
"state": "CA",
"country_code": "US",
"postal_code": "935618518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.