Melanie Guadalupe Lambourg, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM481 Issued in CA

Practice address

5849 Schaefer Ave
Chino, CA 91710-7004

Phone

(909) 464-0974

Fax

(888) 224-8756

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ancient Paths Midwifery

  • Birthing Clinic/Center
  • Chino, CA
  • NPI 1760680482
  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801324504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 SCHAEFER AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107004",
            "telephone_number": "909-464-0974",
            "fax_number": "888-224-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 SCHAEFER AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107004",
            "telephone_number": "909-464-0974",
            "fax_number": "888-224-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBOURG",
        "first_name": "MELANIE",
        "middle_name": "GUADALUPE",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Catherine Coo Lacson, RDH, RDHAP, DDS
• Gary T. Lai, M.D.
• Kristy Lai
• Paul Pao-Chien Lai, D.O.
• James M Lally, D.O.
• Jesse Tabisula Lamog, DPT
• Marcelino Dellopac Latina, DO
• Mara Gwynne Latts, PHD
• Teresa Layman, M.S. CCC-SLP
• Le Faith, LTD

• Midwife in Chino, CA
• Providers in Chino, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.