Active NPI
Dorian Rebecca Mains, LM, CPM
- Midwife
- Los Angeles, CA
National Provider Identifier
1861116121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 677
- Practice address
- 5232 Baltimore St
Los Angeles, CA 90042 - Phone
- (615) 516-5953
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 677 | CA | Primary |
Addresses
Primary practice location
5232 Baltimore St
Los Angeles, CA 90042
Mailing address
5232 Baltimore St
Los Angeles, CA 90042-2350
Phone (615) 516-5953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPM22050009 | Other | NORTH AMERICAN REGISTRY OF MIDWIVES | |
| 677 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1861116121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5232 BALTIMORE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900422350",
"telephone_number": "615-516-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5232 BALTIMORE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90042",
"telephone_number": "615-516-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINS",
"first_name": "DORIAN",
"middle_name": "REBECCA",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN REGISTRY OF MIDWIVES",
"identifier": "CPM22050009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "677",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.