Full Moon Family Wellness and Birth Center

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

FULL MOON FAMILY WELLNESS AND BIRTH CENTER

Practice address

701 Mission St
Santa Cruz, CA 95060-3614

Phone

(831) 454-8031

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Sunshine Tomlin, LM

Title

Owner

Phone

(831) 454-8031

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1932622693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614",
            "telephone_number": "831-454-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOON FAMILY WELLNESS AND BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUNSHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-454-8031",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM192",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Birthing Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, 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 Dec 13, 2018; 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.