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ORIGIN PREGNANCY BOUTIQUE
NPI 1255661583
Radiologic Technologist - Sonography in Mendocino, CA

Active since January 08, 2010
45040 MAIN STREET, B, MENDOCINO, CA 95460(707) 937-1477(707) 937-1480 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origin Pregnancy Boutique NPPES

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

ORIGIN PREGNANCY BOUTIQUE (NPI 1255661583) is a healthcare organization registered as a sonography in Mendocino, California and active in the NPI registry since January 2010. The organization lists Amy Davis, Owner/sonographer, as its authorized official.

NPPES Registry Identity

NPI1255661583
Entity TypeOrganization
Primary Taxonomy2471S1302X
Legal Business NameORIGIN PREGNANCY BOUTIQUE
Location Address45040 MAIN STREET, BMendocino, CA 95460
Mailing Address33275 Pacific WayFort Bragg, CA 95437-9226 · (707) 937-1477 · Fax (707) 937-1480
Phone(707) 937-1477
Fax(707) 937-1480
Organization SubpartNo
Authorized OfficialAmy DavisOwner/sonographer · (707) 937-1477
Enumeration DateJanuary 8, 2010
✔ NPI 1255661583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · SonographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471S1302X
License✔ Licensed in CA · RDMS81478
Definition
A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.
45040 MAIN STREET, Mendocino, CA 95460
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

AMY DAVIS R.D.M.S. 81478
Radiologic Technologist (Sonography)
45040 MAIN STREET
MENDOCINO, CA 95460
Mendocino County (707) 937-1477

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 Origin Pregnancy Boutique's NPI number?

The NPI number for Origin Pregnancy Boutique is 1255661583. It was assigned to this organization in the NPPES registry on January 8, 2010.

Where is Origin Pregnancy Boutique located?

Origin Pregnancy Boutique is located at 45040 Main Street B, Mendocino, CA 95460. The listed phone number is (707) 937-1477.

What is Origin Pregnancy Boutique's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Sonography, with taxonomy code 2471S1302X.

When was this NPI record last updated?

The NPPES record for Origin Pregnancy Boutique was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.