Individual provider Active NPI

Jennifer Buchanan, CNM, WHNP-BC, IBCLC

  • Advanced Practice Midwife
  • South Pasadena, CA
National Provider Identifier
1790157915
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
235772 Issued in CA
Practice address
1416 El Centro St
Suite 100
South Pasadena, CA 91030-3202
Phone
(626) 577-2229
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 235772 CA Primary

Addresses

Primary practice location

1416 El Centro St
Suite 100
South Pasadena, CA 91030-3202

Mailing address

125 N Raymond Ave Unit 202
Pasadena, CA 91103-4535
Phone (626) 818-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000844 CA Practitioner - Certified Nurse Midwife (CNM) 9133405509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1530 S Olive St
Los Angeles, CA 90015-3023

335 E Ave I
Lancaster, CA 93535-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 27, 2026 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2026 Accepting new patients
Del Mar Birth Center Inc., a Nursing Corporation Past Accepting new patients
Del Mar Birth Center, LLC Past Accepting new patients

Locations

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

Organizations & group practices 5

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1790157915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N RAYMOND AVE UNIT 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911034535",
            "telephone_number": "626-818-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 EL CENTRO ST",
            "address_2": "SUITE 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303202",
            "telephone_number": "626-577-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "JENNIFER",
        "credential": "CNM, WHNP-BC, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.