Active NPI
Homestead Natural Birth Center, Inc
- Birthing Clinic/Center
- Modesto, CA
National Provider Identifier
1902431059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- HOMESTEAD NATURAL BIRTH CENTER, INC
- Practice address
- 1608 Sunrise Ave Ste a
Modesto, CA 95350-4678 - Phone
- (209) 622-0226
- Fax
- (209) 622-0220
- NPI assigned
- Mar 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Johnson, LM
- Title
- Clinical Director
- Phone
- (209) 482-8682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
1608 Sunrise Ave Ste a
Modesto, CA 95350-4678
Mailing address
1608 Sunrise Ave Ste a
Modesto, CA 95350-4678
Phone (209) 622-0226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4552190 | Other | CA | ARTICLES OF INCORPORATION |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Midwife
- Modesto, CA
- NPI 1902199821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1902431059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SUNRISE AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504678",
"telephone_number": "209-622-0226",
"fax_number": "209-622-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SUNRISE AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504678",
"telephone_number": "209-622-0226",
"fax_number": "209-622-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD NATURAL BIRTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "209-482-8682",
"authorized_official_credential": "LM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARTICLES OF INCORPORATION",
"identifier": "4552190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.