Active NPI
Maria Angela King, CNM, RN
- Advanced Practice Midwife
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1593
- Practice address
- 1881 Business Center Dr Ste 8a
San Bernardino, CA 92408-3448 - Phone
- (714) 470-1506
- NPI assigned
- May 15, 2007
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 615636 | CA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 1593 | CA | |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 1593 | CA | |
| Perinatal Registered Nurse | 163WP1700X | 1593 | CA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 1593 | CA | |
| Health Educator | 174H00000X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | 615636 | CA | |
| Advanced Practice Midwife | 367A00000X | 1593 | CA | Primary |
Addresses
Primary practice location
1881 Business Center Dr Ste 8a
San Bernardino, CA 92408-3448
Mailing address
6240 Black Pearl CT
Mira Loma, CA 91752-4405
Phone (714) 470-1506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12646542 | Other | CA | CAQH PROVIDER ID |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615636 | CA | MD | Lactation Consultant (Registered Nurse) |
| 1593 | CA | MD | Perinatal Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Natural Birth Place Inc | Lactation Consultant | Current | Accepting new patients |
| Natural Birth Place Providers a Professional Nurse Midwifery Corp. | Lactation Consultant | Current | Accepting new patients |
| Obhg California, P.C. | Single Specialty | Current | Accepting new patients |
Locations
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
1881 Business Center Dr
Ste 8A
San Bernardino, CA 92408
Phone (714) 470-1506
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
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.
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1215258892
CA, Single Specialty
-
- Advanced Practice Midwife
- San Bernardino, CA
- NPI 1447806245
Lactation Consultant
-
- Birthing Clinic/Center
- San Bernardino, CA
- NPI 1588011589
Lactation Consultant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1801002704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 BLACK PEARL CT",
"city": "MIRA LOMA",
"state": "CA",
"postal_code": "917524405",
"telephone_number": "714-470-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 BUSINESS CENTER DR STE 8A",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083448",
"telephone_number": "714-470-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARIA",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "CNM, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "615636",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CA",
"license": "1593",
"primary": false
},
{
"code": "163WN0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Neonatal, Low-Risk",
"state": "CA",
"license": "1593",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Perinatal",
"state": "CA",
"license": "1593",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "1593",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "615636",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "1593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "12646542",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.