Organization Active NPI

Paradise Midwifery Services

  • Obstetrics & Gynecology Nurse Practitioner
  • Paradise, CA
National Provider Identifier
1679505127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
Legal business name
PARADISE MIDWIFERY SERVICES
Practice address
771 Buschmann Rd
Suite H
Paradise, CA 95969-5848
Phone
(530) 872-7579
Fax
(530) 872-5645
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Peggy Macneill
Title
Office Manager
Phone
(530) 872-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X CA Primary

Addresses

Primary practice location

771 Buschmann Rd
Suite H
Paradise, CA 95969-5848

Mailing address

771 Buschmann Rd
Suite H
Paradise, CA 95969-5848
Phone (530) 872-7579

Other identifiers 1

IdentifierTypeStateIssuer
GNMW00010MedicaidCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679505127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BUSCHMANN RD",
            "address_2": "SUITE H",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695848",
            "telephone_number": "530-872-7579",
            "fax_number": "530-872-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BUSCHMANN RD",
            "address_2": "SUITE H",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695848",
            "telephone_number": "530-872-7579",
            "fax_number": "530-872-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MIDWIFERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-872-7579"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNMW00010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.