The Sanctuary Birth & Family Wellness Center

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER

Practice address

12022 Venice Blvd
Studio C
Los Angeles, CA 90066-3845

Phone

(310) 566-7690

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Aleksandra Evanguelidi, LM, CPMNPI 1821299405

Title

Co-Owner

Phone

(310) 566-7690

Specialties & licenses 1

Addresses

Tax ID family

The Sanctuary Birth Family Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Sanctuary Birth & Family Wellness Center

  • Midwife
  • Los Angeles, CA
  • NPI 1790085942
  NPD tax ID

Locations

Practitioners 3

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

• Aleksandra Kristin Evanguelidi, L.M., C.P.M.

  • Midwife
  • Los Angeles, CA
  • NPI 1821299405
  NPD (past) Authorized official
• Kimberly Ann Durdin, LM, IBCLC

  • Lactation Consultant (Non-RN)
  • Los Angeles, CA
  • NPI 1891067682
  NPD (past)
• Monica Anne Wood, C.P.M.,L.M.

  • Midwife
  • Los Angeles, CA
  • NPI 1548529886
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1649571472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-566-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12022 VENICE BLVD",
            "address_2": "STUDIO C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663845",
            "telephone_number": "310-566-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "EVANGUELIDI",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "310-566-7690",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Rich Retreat Foundation
• The Saban Free Clinic
• The Safe Group, Inc.
• The Salvation Army
• The Salvation Army
• The Sanctuary Birth & Family Wellness Center
• The Seeley Group
• The Sexual Recovery Institute
• The Sisters of Nazareth L.a. (Nazareth House L.A.)
• The Sisters of Nazareth of Los Angeles (Nazareth House - Los Angeles)

• Birthing Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Birthing Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.