Individual provider Active NPI

Teresa A Jarvis, CNM

  • Advanced Practice Midwife
  • Los Angeles, CA
National Provider Identifier
1851610661
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNP0153 Issued in MN
Practice address
15305 Olive St
Los Angeles, CA 90015
Phone
(213) 747-5542
NPI assigned
May 19, 2010
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X R 143584-9 MN
Advanced Practice Midwife 367A00000X CNP0153 MN Primary

Addresses

Primary practice location

15305 Olive St
Los Angeles, CA 90015

Mailing address

1530 S Olive St
Los Angeles, CA 90015-3023
Phone (213) 747-5542

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teresa.jarvis.p1@direct.eisnerhealth.nextgenshare.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200529001513 CA Practitioner - Certified Nurse Midwife (CNM) 7618150616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

308 W 5TH St
Corona, CA 92882-3349
Phone (833) 867-4642

308 W 6TH St
Suite 109
Corona, CA 92882-3349
Phone (833) 867-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNP0153MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. CurrentSince Mar 10, 2020 Accepting new patients
Doula Access Collective Current Accepting new patients
Pih Health Physicians CurrentSince Oct 27, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Sep 12, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
Neighborhood Healthcare CurrentSince Sep 12, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Oct 27, 2025 Accepting new patients
Fairview Health Services Past Accepting new patients
Maple Grove Hospital Corporation Past Accepting new patients
North Memorial Health Care Past Accepting new patients
Park Nicollet Methodist Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

18300 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 946-8873

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

308 W 6th St
Ste 109
Corona, CA 92882

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1971 University Ave
Riverside, CA 92507
Phone (951) 284-6200

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 203
Victorville, CA 92395

Interoperability endpoints

  • Direct secure messaging: teresa.jarvis.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: teresa.jarvis.p1@direct.eisnerhealth.nextgenshare.com
  • Direct secure messaging: tjarvis1416011@oc.providencedirect.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1851610661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153023",
            "telephone_number": "213-747-5542",
            "fax_number": "213-746-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-747-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2021-09-16",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "R 143584-9",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNP0153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresa.jarvis.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.