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DAMEELAH ROSE CAROLINA
NPI 1467714519
Advanced Practice Midwife in Los Angeles, CA

Active since June 14, 2012PECOS Enrolled
1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 747-5542(213) 746-9379 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dameelah Rose Carolina NPPES

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

DAMEELAH ROSE CAROLINA (NPI 1467714519) is an individual advanced practice midwife in Los Angeles, California and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467714519
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDAMEELAH ROSE CAROLINA
Location Address1530 S OLIVE STLos Angeles, CA 90015-3023
Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 747-5542 · Fax (213) 746-9379
Phone(213) 747-5542
Fax(213) 746-9379
Sole ProprietorNo
Enumeration DateJune 14, 2012
Last NPPES UpdateDecember 15, 2021
✔ NPI 1467714519 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
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.
1530 S OLIVE ST, Los Angeles, CA 90015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dameelah Rose Carolina 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.

Medicare Billing Reassignment

Medicare enrollment records show Dameelah Carolina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
30 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

MS. ANA MARISELA MANCILLA
Specialist/Technologist (Speech-Language Assistant)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ROBERT BRODHEAD
Rehabilitation Practitioner
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
CATHERINE LEE JACOBS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
XOCHITL L JACKSON MD
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
TERRY A JORDAN
Social Worker (Clinical)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
DARA NUNN CPNP-AC, FNP-BC
Nurse Practitioner (Pediatrics)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
SANDY SHIEN
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ELIZABETH DIANE JENKINS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037

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 Dameelah Carolina's NPI number?

The NPI number for Dameelah Carolina is 1467714519. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Dameelah Carolina located?

Dameelah Carolina practices at 1530 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 747-5542.

What is Dameelah Carolina's specialty?

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

Is Dameelah Carolina enrolled in Medicare?

Yes. Dameelah Carolina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dameelah Carolina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dameelah Carolina reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dameelah Carolina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dameelah Carolina was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.