Individual provider Active NPI

Mary Pomeroy See, IBCLC

  • Lactation Consultant (Non-RN)
  • Tehachapi, CA
National Provider Identifier
1609417476
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-108670 Issued in CA
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

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
L-108670CAMDLactation 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.

Verify at the official NPI Registry.