THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER NPI 1790085942

Midwife in Los Angeles, CA

NPI 1790085942 Organization Midwife

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 NameTHE SANCTUARY BIRTH & FAMILY WELLNESS CENTER
Provider Location Address11965 VENICE BLVD SUITE 307 LOS ANGELES, CA 90066
Provider Mailing Address11965 VENICE BLVD SUITE 307 LOS ANGELES, CA 90066
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-21-2010
Last Update Date03-06-2012


Primary Taxonomy

Taxonomy Code176B00000X
ClassificationMidwife
TypeOther Service Providers
License No.201
License StateCA
Taxonomy DescriptionA 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

Get Directions


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



Authorized Official

Authorized Official Name ALEKSANDRA EVANGUELIDI LM, CPM
Authorized Official TitleCO-OWNER
Authorized Official Phone(310) 566-7690

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
1261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingNo

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
1093916694SACRED ENTRANCE MIDWIFERY SERVICES
Organization
Midwife11965 VENICE BLVD SUITE# 204
LOS ANGELES, CA 90066
(310) 566-7690
1821299405 ALEKSANDRA KRISTIN EVANGUELIDI L.M., C.P.M.
Individual
Midwife11965 VENICE BLVD SUITE# 307
LOS ANGELES, CA 90066
(310) 566-7690
1073743787 JEROME DAVID WHITE
Individual
Acupuncturist11965 VENICE BLVD SUITE 209
LOS ANGELES, CA 90066
(323) 533-8288
1518295229 VIEN-PHUONG NINI NGUYEN MAI L.AC.
Individual
Acupuncturist11965 VENICE BLVD SUITE 207
LOS ANGELES, CA 90066
(310) 571-8624
1003135906PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER
Organization
Psychologist (Group Psychotherapy)11965 VENICE BLVD SUITE 407
LOS ANGELES, CA 90066
(310) 566-7625
1053628388DR. MARY KATHLEEN PASSEHL MFT, PSY.D
Individual
Marriage & Family Therapist11965 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
1760766448MR. TYLER TAKAYUKI KUBOTA LAC
Individual
Acupuncturist11965 VENICE BLVD STE 209
LOS ANGELES, CA 90066
(424) 250-8272
1891067682 KIMBERLY ANN DURDIN IBCLC
Individual
Lactation Consultant, Non-RN11965 VENICE BLVD #307
LOS ANGELES, CA 90066
(310) 566-7690
1720162530MR. PAUL MICHAEL DAWSON PT
Individual
Physical Therapist11965 VENICE BLVD SUITE 404
LOS ANGELES, CA 90066
(310) 566-7677
1780936633 JILL DAVENPORT CMP
Individual
Massage Therapist11965 VENICE BLVD SUITE 209
LOS ANGELES, CA 90066
(424) 209-9716
1033422068DR. 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, Registered11965 VENICE BLVD SUITE 209
LOS ANGELES, CA 90066
(510) 673-5919
1235526005 ELLEN GEHEBER DAVIS LAC
Individual
Acupuncturist11965 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.