THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER NPI 1790085942
Midwife in Los Angeles, CA
About THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER
The Sanctuary Birth & Family Wellness Center is a provider established in Los Angeles, California specializing in midwife. The NPI number of The Sanctuary Birth & Family Wellness Center is 1790085942 and was assigned on October 2010. The practitioner's primary taxonomy code is 176B00000X with license number 201 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Aleksandra Evanguelidi Lm, Cpm (Co-owner)
| NPI | 1790085942 |
| Provider Name | THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER |
| Provider Location Address | 11965 VENICE BLVD SUITE 307 LOS ANGELES, CA 90066 |
| Provider Mailing Address | 11965 VENICE BLVD SUITE 307 LOS ANGELES, CA 90066 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 10-21-2010 |
| Last Update Date | 03-06-2012 |
Primary Taxonomy
| Taxonomy Code | 176B00000X |
| Classification | Midwife |
| Type | Other Service Providers |
| License No. | 201 |
| License State | CA |
| 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. |
Business Address
THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER
11965 VENICE BLVD
SUITE 307
LOS ANGELES, CA
ZIP 90066
Phone: (310) 566-7690
Fax: (310) 566-7699
Mailing Address
THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER
11965 VENICE BLVD
SUITE 307
LOS ANGELES, CA
ZIP 90066
Phone: (310) 566-7690
Fax: (310) 566-7699
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 261QB0400X | Ambulatory Health Care Facilities | Clinic/Center | Birthing | No | ||
Taxonomy Description: a freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. | |||||||
Other Providers at the same location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093916694 | SACRED ENTRANCE MIDWIFERY SERVICES Organization | Midwife | 11965 VENICE BLVD SUITE# 204 LOS ANGELES, CA 90066 (310) 566-7690 |
| 1821299405 | ALEKSANDRA KRISTIN EVANGUELIDI L.M., C.P.M. Individual | Midwife | 11965 VENICE BLVD SUITE# 307 LOS ANGELES, CA 90066 (310) 566-7690 |
| 1073743787 | JEROME DAVID WHITE Individual | Acupuncturist | 11965 VENICE BLVD SUITE 209 LOS ANGELES, CA 90066 (323) 533-8288 |
| 1518295229 | VIEN-PHUONG NINI NGUYEN MAI L.AC. Individual | Acupuncturist | 11965 VENICE BLVD SUITE 207 LOS ANGELES, CA 90066 (310) 571-8624 |
| 1003135906 | PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER Organization | Psychologist (Group Psychotherapy) | 11965 VENICE BLVD SUITE 407 LOS ANGELES, CA 90066 (310) 566-7625 |
| 1053628388 | DR. MARY KATHLEEN PASSEHL MFT, PSY.D Individual | Marriage & Family Therapist | 11965 VENICE BLVD SUITE 405 LOS ANGELES, CA 90066 (310) 566-7625 |
| 1649554403 | SETH KADISH PSY.D. Individual | Psychologist (Clinical) | 11965 VENICE BLVD SUITE 202 LOS ANGELES, CA 90066 (310) 566-7625 |
| 1760766448 | MR. TYLER TAKAYUKI KUBOTA LAC Individual | Acupuncturist | 11965 VENICE BLVD STE 209 LOS ANGELES, CA 90066 (424) 250-8272 |
| 1891067682 | KIMBERLY ANN DURDIN IBCLC Individual | Lactation Consultant, Non-RN | 11965 VENICE BLVD #307 LOS ANGELES, CA 90066 (310) 566-7690 |
| 1720162530 | MR. PAUL MICHAEL DAWSON PT Individual | Physical Therapist | 11965 VENICE BLVD SUITE 404 LOS ANGELES, CA 90066 (310) 566-7677 |
| 1780936633 | JILL DAVENPORT CMP Individual | Massage Therapist | 11965 VENICE BLVD SUITE 209 LOS ANGELES, CA 90066 (424) 209-9716 |
| 1033422068 | DR. ELISA DORI REICH PSY.D. Individual | Psychologist (Clinical) | 11965 VENICE BLVD SUITE 202 LOS ANGELES, CA 90066 (888) 724-0040 |
| 1467857482 | ERICA JULSON RDN Individual | Dietitian, Registered | 11965 VENICE BLVD SUITE 209 LOS ANGELES, CA 90066 (510) 673-5919 |
| 1235526005 | ELLEN GEHEBER DAVIS LAC Individual | Acupuncturist | 11965 VENICE BLVD SUITE 407 LOS ANGELES, CA 90066 (424) 625-4228 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.