Organization Active NPI

Wild at Heart Birth Center

  • Birthing Clinic/Center
  • Murrieta, CA
National Provider Identifier
1639881295
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
WILD AT HEART BIRTH CENTER
Practice address
40700 California Oaks Rd Ste 108
Murrieta, CA 92562-5789
Phone
(951) 553-9804
Fax
(951) 602-8181
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Katie Lynn Jones, LMNPI 1326517426
Title
Midwife / Owner
Phone
(951) 553-9804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X
Home Health Agency 251E00000X
Ambulatory Family Planning Facility 261QA0005X
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

40700 California Oaks Rd Ste 108
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd Ste 108
Murrieta, CA 92562-5789
Phone (951) 553-9804

Other identifiers 1

IdentifierTypeStateIssuer
7053443MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1639881295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 108",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-553-9804",
            "fax_number": "951-602-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 108",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-553-9804",
            "fax_number": "951-602-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD AT HEART BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MIDWIFE / OWNER",
        "authorized_official_telephone_number": "951-553-9804",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7053443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.