NPIMap

Organization Active NPI

Leilani Jean Wilde

  • Lactation Consultant (Non-RN)
  • San Diego, CA
National Provider Identifier
1689188153
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
LEILANI JEAN WILDE
Practice address
2667 Camino del Rio S Ste 201
San Diego, CA 92108-3733
Phone
(760) 533-7953
Fax
(619) 269-2676
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Dr. Leilani Jean WildeNPI 1407165616
Title
Owner
Phone
(619) 922-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

2667 Camino del Rio S Ste 201
San Diego, CA 92108-3733

Mailing address

2667 Camino del Rio S Ste 201
San Diego, CA 92108-3733
Phone (760) 533-7953

Other names 1

  • Breastfeeding Fixers and Leilani's Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

2667 Camino del Rio S
Ste 201
San Diego, CA 92108
Phone (760) 533-7953

Practitioners & affiliated clinicians

Practitioners 3

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1689188153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083733",
            "telephone_number": "760-533-7953",
            "fax_number": "619-269-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083733",
            "telephone_number": "760-533-7953",
            "fax_number": "619-269-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILANI JEAN WILDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-922-0808",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breastfeeding Fixers and Leilani's Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.