Roberta I Cervantes, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-21056 Issued in CA

Practice address

897 E Chase Dr
Corona, CA 92881-3940

Phone

(951) 212-7096

NPI assigned

Mar 12, 2018

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Just Natural Breastfeeding Solutions LLC

  • Lactation Consultant (Registered Nurse)
  • Corona, CA
  • NPI 1053039941

  Lactation Consultant

  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1811490238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 E CHASE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813940",
            "telephone_number": "951-394-2087",
            "fax_number": "855-395-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 E CHASE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813940",
            "telephone_number": "951-212-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ROBERTA",
        "middle_name": "I",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-21056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "163WL0100X",
            "identifier": "1811490238",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@justnaturalbreastfeeding.com",
            "affiliation": "N",
            "address_1": "897 E Chase Dr",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928813940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan Cerda-Ofogh
• Jessica A Cerda, PSYD
• Alejandra Danielle Cerritos, RBT
• Aryana Marcela Cervantes
• Jorge Alberto Cervantes
• Marielle Cabuhat Cesa, MAOT, OTR/L
• Cesar R. Bartell, O.D. Inc.
• Ceuticare LLC
• Ceuticare LLC
• CF Rodgers DDS Inc

• All providers in Corona, CA
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.