Individual provider Active NPI

Adrienne Almada Joe

  • Advanced Practice Midwife
  • Laguna Hills, CA
National Provider Identifier
1790311769
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236086 Issued in CA
Practice address
23141 Moulton Pkwy Ste 108
Laguna Hills, CA 92653-1241
Phone
(949) 215-7575
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP95012683 CA
Advanced Practice Midwife 367A00000X 236086 CA Primary

Addresses

Primary practice location

23141 Moulton Pkwy Ste 108
Laguna Hills, CA 92653-1241

Mailing address

23141 Moulton Pkwy Ste 108
Laguna Hills, CA 92653-1241
Phone (949) 215-7575

Other names 1

  • Adrienne Rhea Almada Former name

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
I20220824002033 CA Practitioner - Certified Nurse Midwife (CNM) 6305229386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95012683CAMDWomen's Health Nurse Practitioner
236086CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince May 16, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 16, 2022 Accepting new patients

Locations

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

Organizations & group practices 3

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1790311769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-215-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-215-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "ADRIENNE",
        "middle_name": "ALMADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP95012683",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "ALMADA",
            "middle_name": "RHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.