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MRS. DORIS THERESE CRISOSTOMO UNTALAN C.N.M.
NPI 1457427940
Advanced Practice Midwife in San Leandro, CA

Active since November 27, 2006PECOS Enrolled
2500 MERCED STREET, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Doris Therese Crisostomo Untalan C.n.m. NPPES

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

MRS. DORIS THERESE CRISOSTOMO UNTALAN C.N.M. (NPI 1457427940) is an individual advanced practice midwife in San Leandro, California, licensed in California (NMW 1079) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457427940
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. DORIS THERESE CRISOSTOMO UNTALANCredential: C.N.M.
Location Address2500 MERCED STREETSan Leandro, CA 94577-4201
Mailing Address2500 Merced StreetSan Leandro, CA 94577-4201 · (510) 454-1000
Phone(510) 454-1000
Sole ProprietorYes
Enumeration DateNovember 27, 2006
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1457427940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CA · NMW 1079
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
2500 MERCED STREET, San Leandro, CA 94577
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Other Names 1

Former Name (1)Miss Doris Therese Crisostomo Cnm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Doris Therese Crisostomo Untalan C.n.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. LISA M FUNG PHARM D
Pharmacist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MRS. MARY ANN QUARTO BLOYER C.N.M.
Advanced Practice Midwife
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
SOLOMON H. YOUNG R.D.
Dietitian, Registered
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
VIJAY N. DAVE PHARM
Pharmacist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
BYRON MAIGUE ROMERO P.T.
Physical Therapist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MRS. AMELIA GRACE FOOS O.T.
Occupational Therapist (Pediatrics)
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
SHANNON LIU-KU MD
Pediatrics
2500 MERCED STREET, HOSPITAL BUILDING, NICU
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
DR. MONIKA YADAV M.D.
Internal Medicine
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000

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 Doris Therese Untalan's NPI number?

The NPI number for Doris Therese Untalan is 1457427940. It was assigned to this individual provider in the NPPES registry on November 27, 2006. The provider is also known as Miss Doris Therese Crisostomo Cnm.

Where is Doris Therese Untalan located?

Doris Therese Untalan practices at 2500 Merced Street, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Doris Therese Untalan's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Doris Therese Untalan enrolled in Medicare?

Yes. Doris Therese Untalan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Doris Therese Untalan was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.