Individual provider Active NPI

Monique Bass, CD(DONA)

  • Doula
  • North Hollywood, CA
National Provider Identifier
1720814577
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
1477888 Issued in CA
Practice address
11468 Albers St Apt 4
North Hollywood, CA 91601-2846
Phone
(503) 575-5956
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 1477888 CA Primary

Addresses

Primary practice location

11468 Albers St Apt 4
North Hollywood, CA 91601-2846

Mailing address

11468 Albers St Apt 4
North Hollywood, CA 91601-2846
Phone (503) 575-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1477888CAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Momo the Doula Doula CurrentSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1720814577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11468 ALBERS ST APT 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012846",
            "telephone_number": "503-575-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 ALBERS ST APT 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012846",
            "telephone_number": "503-575-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "MONIQUE",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "1477888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.