Cypress Avenue Sage Femmes Inc/ Cypress Avenue Sage Femmes Birth Home

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

License

259079 Issued in CA

Legal business name

CYPRESS AVENUE SAGE FEMMES INC/ CYPRESS AVENUE SAGE FEMMES BIRTH HOME

Practice address

713 Cypress Ave
South San Francisco, CA 94080-2861

Phone

(650) 745-8195

Fax

(650) 989-8408

NPI assigned

Jul 14, 2009

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith TinkelenbergNPI 1023106622

Title

Director/Midwife

Phone

(650) 745-8195

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Irene Tinkelenberg, RN, CNM

  • Advanced Practice Midwife
  • Pleasanton, CA
  • NPI 1023106622
  NPD (past) Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1851520696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CYPRESS AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802861",
            "telephone_number": "650-745-8195",
            "fax_number": "650-989-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CYPRESS AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802861",
            "telephone_number": "650-745-8195",
            "fax_number": "650-989-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS AVENUE SAGE FEMMES INC/ CYPRESS AVENUE SAGE FEMMES BIRTH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "TINKELENBERG",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR/MIDWIFE",
        "authorized_official_telephone_number": "650-745-8195"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "91-2166828",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "CA",
            "license": "259079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NMW538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crossover Health Medical Group
• Jeffrey Crowder, MD
• Katrina Surban Cruz, NP
• Marite Rivera Cruz, D.M.D.
• Michael John Cuneo, D.C.
• Susanne Czaikowski
• Ma Cathrina Fatima P Dador
• Salumeh Nicole Dadres, M.D., MPH
• Jeffrey Dagelet
• Priti Dahya, M.D.

• Birthing Clinic/Center in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Birthing Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.