Aleksandra Kristin Evanguelidi, L.M., C.P.M.

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM201 Issued in CA

Practice address

11965 Venice Blvd
Suite# 307
Los Angeles, CA 90066-3979

Phone

(310) 566-7690

Fax

(310) 566-7699

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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.

• The Sanctuary Birth & Family Wellness Center

  • Birthing Clinic/Center
  • Los Angeles, CA
  • NPI 1649571472
  NPD (past) Authorized official
• The Sanctuary Birth & Family Wellness Center

  • Midwife
  • Los Angeles, CA
  • NPI 1790085942
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1821299405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE# 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-493-9134",
            "fax_number": "310-566-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE# 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-566-7690",
            "fax_number": "310-566-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGUELIDI",
        "first_name": "ALEKSANDRA",
        "middle_name": "KRISTIN",
        "credential": "L.M., C.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Evanculla
• Alexis Evangelista
• Anna Liza Evangelista
• Gideon G Evangelista, DDS
• Lorelie G Evangelista, MSW
• Melissa Evanich
• Adam Rees Evans
• Amy Evans, M.A.
• Anna Evans
• Aundriea J. Evans

• Midwife in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.