East Bay Lactation Associates LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

EAST BAY LACTATION ASSOCIATES LLC

Practice address

1260B 45TH St
Emeryville, CA 94608-2907

Phone

(510) 525-1155

Fax

(510) 525-1155

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Molly Brannigan, IBCLCNPI 1821313644

Title

Manager

Phone

(510) 525-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Bay Lactation Associates Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly Brannigan, IBCLC

  • Lactation Consultant (Non-RN)
  • Albany, CA
  • NPI 1821313644

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1619633377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260B 45TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082907",
            "telephone_number": "510-525-1155",
            "fax_number": "510-525-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260B 45TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082907",
            "telephone_number": "510-525-1155",
            "fax_number": "510-525-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY LACTATION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "BRANNIGAN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-525-1155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eastbaylactationassociates.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "1260B 45th St",
            "city": "Emeryville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946082907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Bay Lactation Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lonisha Duchine
• Simran Dulku
• Staci E Dumas, PA-C
• George Detroit Dunwood Jr.
• East Bay Endoscopy Center L P
• Xitiana Edgerton
• Jason Elcock
• Esther Elenes
• Emery Unified School District
• Emeryville Advanced Imaging Center

• Lactation Consultant (Non-RN) in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.