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).
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 |
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 |
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 |
Street Address |
11965 VENICE BLVD SUITE 307 |
City | LOS ANGELES |
State | CA |
Zip Code | 90066-3979 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90066 |
Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
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] |
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 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90066 |
Please comment or provide details below to improve the information on THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER.
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.