Individual provider Active NPI

Nicole S. Christian-Genius, CNM, DM

  • Advanced Practice Midwife
  • Glendale, CA
National Provider Identifier
1629370382
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW236250 Issued in CA
Practice address
1808 Verdugo Blvd Ste 413
Glendale, CA 91208-1468
Phone
(818) 658-5980
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R152087 MD
Advanced Practice Midwife 367A00000X NMW236250 CA Primary

Addresses

Primary practice location

1808 Verdugo Blvd Ste 413
Glendale, CA 91208-1468

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (818) 658-5980

Other identifiers 1

IdentifierTypeStateIssuer
1629370382MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL athenahealth.com Health Information Exchange (HIE)
Direct Messaging Address nicole.christiangenius.p1@direct.eisnerhealth.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001754 CA Practitioner - Certified Nurse Midwife (CNM) 7810155272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

1600 W Ave J
Lancaster, CA 93534-2814
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NMW236250CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jun 6, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 6, 2023 Accepting new patients
Obhg California, P.C. CurrentSince May 1, 2025 Accepting new patients
Samir E. Hage, D.O., Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1808 Verdugo Blvd
Ste 413
Glendale, CA 91208
Phone (818) 658-5980

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1517 San Pablo St Ste 3300
Ste 3300
Los Angeles, CA 90033

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1629370382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "818-658-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD STE 413",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081468",
            "telephone_number": "818-658-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN-GENIUS",
        "first_name": "NICOLE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "CNM, DM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R152087",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW236250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629370382",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31 Franklin Valley Cir",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211365811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.christiangenius.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.