Organization Active NPI

La Matriz Birth Services Inc

  • Midwife
  • San Diego, CA
National Provider Identifier
1710708474
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
LA MATRIZ BIRTH SERVICES INC
Practice address
3633 Camino del Rio South
Ste 206
San Diego, CA 92108
Phone
(408) 209-2234
Fax
(619) 761-5825
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Bianca V Mercado, LMNPI 1295167062
Title
Licensed Midwife
Phone
(408) 209-2234

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

3633 Camino del Rio South
Ste 206
San Diego, CA 92108

Mailing address

6752 Hibiscus Dr
Lemon Grove, CA 91945-1316
Phone (408) 209-2223

Other names 1

  • La Matriz Birth INC Doing business as

National Provider Directory

National Provider Directory

Locations

3633 Camino del Rio S
Ste 206
San Diego, CA 92108
Phone (408) 209-2234

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": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1710708474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 HIBISCUS DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451316",
            "telephone_number": "408-209-2223",
            "fax_number": "619-761-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO SOUTH",
            "address_2": "STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "408-209-2234",
            "fax_number": "619-761-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MATRIZ BIRTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "408-209-2234",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Matriz Birth INC",
            "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 5, 2024; 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.