THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER


Address: 11965 Venice Blvd, Suite 307, Los Angeles, CA 90066-3979
Phone: 3105667690

THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER (NPI# 1790085942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790085942
Entity Type Organization
Organization Name THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER
Practice Address 11965 Venice Blvd
Suite 307
Los Angeles
CA 90066-3979
Practice Telephone 3105667690
Practice Fax Number 3105667699
Mailing Telephone 3105667690
Mailing Fax Number 3105667699
Enumeration Date 2010-10-21
Last Update Date 2012-03-06
Authorized Official Name ALEKSANDRA EVANGUELIDI (CO-OWNER)
Authorized Official Telephone 3105667690
Authorized Official Credential LM, CPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QB0400X Clinic/Center
Specialization: Birthing
Ambulatory Health Care Facilities
Y 176B00000X Midwife 201 CA Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649571472 The Sanctuary Birth & Family Wellness Center Clinic/Center 12022 Venice Blvd, Studio C, Los Angeles, CA 90066-3845 2010-11-10

Office Location

Street Address 11965 VENICE BLVD
SUITE 307
City LOS ANGELES
State CA
Zip Code 90066-3979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720162530 Paul Michael Dawson Physical Therapist 11965 Venice Blvd, Suite 404, Los Angeles, CA 90066-3979 2006-10-25
1235526005 Ellen Geheber Davis Acupuncturist 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066-3979 2015-04-20
1467857482 Erica Julson Dietitian, Registered 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 2014-11-03
1750711289 Bright Beginnings for Kids, Inc. Occupational Therapist 11965 Venice Blvd, Suite 408, Los Angeles, CA 90066-3979 2013-11-19
1780936633 Jill Davenport Massage Therapist 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 2012-10-02
1891067682 Kimberly Ann Durdin Lactation Consultant, Non-RN 11965 Venice Blvd, #307, Los Angeles, CA 90066-3979 2012-02-08
1760766448 Tyler Takayuki Kubota Acupuncturist 11965 Venice Blvd, Ste 209, Los Angeles, CA 90066-3979 2011-09-29
1649554403 Seth Kadish Psychologist 11965 Venice Blvd, Suite 202, Los Angeles, CA 90066-3979 2011-09-28
1053628388 Mary Kathleen Passehl Marriage & Family Therapist 11965 Venice Blvd, Suite 405, Los Angeles, CA 90066-3979 2010-09-08
1033422068 Elisa Dori Reich Psychologist 11965 Venice Blvd, Suite 202, Los Angeles, CA 90066-3979 2010-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
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Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457982183 Donna Hanson Midwife 2129 W 20th St, Los Angeles, CA 90018-1407 2020-01-31
1659916765 Jessica Diggs Midwife 548 S Spring St Apt 609, Los Angeles, CA 90013-2339 2019-11-12
1912549866 Adelyn Tomlinson Midwife 601 N Ardmore Ave, Los Angeles, CA 90004-2003 2019-10-11
1548774516 Miriam Michel Midwife 838 S Barrington Ave Apt 204, Los Angeles, CA 90049-4754 2017-11-28
1356896492 Mayano Ochi Midwife 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 2016-08-18
1447611413 Hayley Frances Oakes Midwife 1534 Killarney Ave, Los Angeles, CA 90065-1814 2016-03-17
1053709378 Dragonfly Natural Health, A Naturopathic Corporation Midwife 13101 W Washington Blvd Ste 216, Los Angeles, CA 90066-5100 2015-01-09
1598167645 Laura Monroe Burnett Midwife 1860 S Redondo Blvd, Los Angeles, CA 90019-5364 2014-09-19
1932516747 Nancy Beyda Midwife 1949 N Wilton Pl, Los Angeles, CA 90068-3626 2014-07-14
1750634812 Faith Freeman Midwife 610 S Main St # 205, Los Angeles, CA 90014-2009 2012-10-25
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90066

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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