Active NPI
La Matriz Birth Services Inc
- Midwife
- San Diego, CA
National Provider Identifier
1710708474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bianca V Mercado, LM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary | ||
| Doula | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Midwife
- San Diego, CA
- NPI 1295167062
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.