Organization Active NPI

Homestead Natural Birth Center, Inc

  • Birthing Clinic/Center
  • Modesto, CA
National Provider Identifier
1902431059
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Jessica Johnson, LMNPI 1902199821
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4552190OtherCAARTICLES OF INCORPORATION

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.