Individual provider Active NPI

Lauren Ashley Mangold, CNM

  • Advanced Practice Midwife
  • Fresno, CA
National Provider Identifier
1700112018
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236103 Issued in CA
Practice address
7050 N Recreation Ave Ste 101
Fresno, CA 93720-8001
Phone
(559) 325-3515
Fax
(559) 325-3526
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Advanced Practice Midwife 367A00000X 236103 CA Primary

Addresses

Primary practice location

7050 N Recreation Ave Ste 101
Fresno, CA 93720-8001

Mailing address

7050 N Recreation Ave Ste 101
Fresno, CA 93720-8001
Phone (559) 325-3515

Other names 1

  • Ms. Lauren Ashley Weissburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Feb 1, 2022 Accepting new patients

Locations

7050 N Recreation Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-3515

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

Organizations & group practices 2

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1700112018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-325-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-325-3515",
            "fax_number": "559-325-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WEISSBURG",
            "middle_name": "ASHLEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.