ANISSA NISHIRA CORNELIUS LM, CPM, IBCLC
NPI 1093067274
Midwife in San Diego, CA

Active since October 11, 2012
4545 FANUEL ST, SAN DIEGO, CA 92109(858) 900-2004 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Jun 21, 2024, Dec 14, 2023 (3 updates tracked since 2023).

About Anissa Nishira Cornelius Lm, Cpm, Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANISSA NISHIRA CORNELIUS LM, CPM, IBCLC (NPI 1093067274) is an individual midwife in San Diego, California, licensed in California (765) and active in the NPI registry since October 2012. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1093067274
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameANISSA NISHIRA CORNELIUSCredential: LM, CPM, IBCLC
Location Address4545 FANUEL STSan Diego, CA 92109-2904
Mailing Address8550 Gold Coast DrSan Diego, CA 92126-3606 · (858) 361-6392
Sole ProprietorYes
Enumeration DateOctober 11, 2012
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1093067274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in CA · 765
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.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-314425
4545 FANUEL ST, San Diego, CA 92109

Secondary Practice Location 1

Location 18550 Gold Coast DrSan Diego, CA 92126-3606 · Phone (951) 347-5418

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Midwife
4545 FANUEL ST
SAN DIEGO, CA 92109
Naturopath
4545 FANUEL ST
SAN DIEGO, CA 92109
Advanced Practice Midwife
4545 FANUEL ST
SAN DIEGO, CA 92109
Doula
4545 FANUEL ST
SAN DIEGO, CA 92109
Massage Therapist
4545 FANUEL ST
SAN DIEGO, CA 92109
Midwife
4545 FANUEL ST
SAN DIEGO, CA 92109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anissa Cornelius's NPI number?

The NPI number for Anissa Cornelius is 1093067274. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Anissa Cornelius located?

Anissa Cornelius practices at 4545 Fanuel St, San Diego, CA 92109. The listed phone number is (858) 900-2004.

What is Anissa Cornelius's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

When was this NPI record last updated?

The NPPES record for Anissa Cornelius was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.