Active NPI
Jessica Yanes, LICENSED MIDWIFE
- Midwife
- Huntington Beach, CA
National Provider Identifier
1750963096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99436
- Practice address
- 10162 Cutty Sark Dr
Huntington Beach, CA 92646-4304 - Phone
- (512) 956-1672
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99436 | TX | Primary |
Addresses
Primary practice location
10162 Cutty Sark Dr
Huntington Beach, CA 92646-4304
Mailing address
10162 Cutty Sark Dr
Huntington Beach, CA 92646-4304
Phone (512) 956-1672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99436 | Other | TX | MIDWIFERY LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99436 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1750963096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10162 CUTTY SARK DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926464304",
"telephone_number": "512-956-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10162 CUTTY SARK DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926464304",
"telephone_number": "512-956-1672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANES",
"first_name": "JESSICA",
"credential": "LICENSED MIDWIFE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": "TX",
"license": "99436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWIFERY LICENSE NUMBER",
"identifier": "99436",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.