NPIMap

Organization Active NPI

Willow Midwife Center for Birth and Wellness Az, LLC

Doing business as Willow-Mercy Center

  • Birthing Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1770319683
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC
Doing business as
Willow-Mercy Center
Practice address
3635 S Val Vista Dr Ste 106
Gilbert, AZ 85297-7371
Phone
(480) 565-5990
NPI assigned
Sep 9, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. Diane M Ortega, DNP, CNMNPI 1649402827
Title
Owner
Phone
(480) 565-5990

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

3635 S Val Vista Dr Ste 106
Gilbert, AZ 85297-7371

Mailing address

2045 S Vineyard Ste 136
Mesa, AZ 85210-6891

Other names 1

  • Willow-Mercy Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2319767Willow Mercy Center3635 S Val Vista Dr Ste 106-206, Gilbert, AZ 85297Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Willow Midwife Center for Birth and Wellness Az4 organizations share this tax ID, including this one
Part of
Willow Midwife Center for Birth and Wellness Az

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1770319683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 136",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S VAL VISTA DR STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977371",
            "telephone_number": "480-565-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW MIDWIFE CENTER FOR BIRTH AND WELLNESS AZ, LLC",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-565-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow-Mercy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.