Organization Active NPI

Maternal Health Medical Group LLC

  • Doula
  • San Diego, CA
National Provider Identifier
1790640936
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
MATERNAL HEALTH MEDICAL GROUP LLC
Practice address
8690 Aero Dr
San Diego, CA 92123-1886
Phone
(619) 608-1488
NPI assigned
Dec 19, 2025
Organization subpart
Yes
Parent organization
MATERNAL HEALTH MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Jade StormsNPI 1992532386
Title
Board Member
Phone
(310) 403-4886

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
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

8690 Aero Dr
San Diego, CA 92123-1886

Mailing address

1125 E Broadway # 2242
Glendale, CA 91205-1315

National Provider Directory

National Provider Directory
Tax ID family
Maternal Health Medical Group LLC2 organizations share this tax ID, including this one
Part of
Maternal Health Medical Group LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1790640936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E BROADWAY # 2242",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 AERO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231886",
            "telephone_number": "619-608-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATERNAL HEALTH MEDICAL GROUP LLC",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "STORMS",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "310-403-4886"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.