PACIFICA FAMILY MATERNITY CENTER
NPI 1336407907
Midwife in Berkeley, CA

Active since May 02, 2012CLIA 05D2081531 · Microscopy
3024 FULTON ST APT B, BERKELEY, CA 94705(510) 704-8366(510) 704-8366 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Midwife
  • CLIA Number: 05D2081531
  • CLIA Cert. Type: Other - ALTERNATIVE BIRTHING CTR
  • CLIA Exp. Date: 07-27-2026

About PACIFICA FAMILY MATERNITY CENTER

This page provides the complete NPI Profile along with additional information for Pacifica Family Maternity Center, a provider established in Berkeley, California operating as a Midwife. The healthcare provider is registered in the NPI registry with number 1336407907 assigned on May 2012. The practitioner's primary taxonomy code is 176B00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Cindy Haag (Founder Midwife)

NPI
1336407907 Verify this NPI
Provider Name
PACIFICA FAMILY MATERNITY CENTER
Entity Type
Organization
Location Address
3024 FULTON ST APT B BERKELEY, CA 94705
Location Phone
(510) 704-8366
Location Fax
(510) 704-8366
Mailing Address
3024 FULTON ST APT B BERKELEY, CA 94705
Mailing Phone
(510) 704-8366
Mailing Fax
(510) 704-8366
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2012
Last Update Date
05-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Midwife

Taxonomy Code
176B00000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CINDY HAAG

Authorized Official Title
FOUNDER MIDWIFE
Authorized Official Phone
(510) 704-8366

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2081531
Facility Type
Other - ALTERNATIVE BIRTHING CTR
Certificate Effective Date
July 28, 2024
Certificate Expiration Date
July 27, 2026
Laboratory Director
ORI TZVIELI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pacifica Family Maternity Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336407907, enumerated as an "organization" on May 02, 2012.

The provider is located at 3024 FULTON ST APT B BERKELEY, CA 94705 and the phone number is (510) 704-8366.

Midwife with taxonomy code 176B00000X.