# NATURAL BIRTH PLACE PROVIDERS A PROFESSIONAL NURSE MIDWIFERY CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447806245
- **Authorized official:** MARIA ANGELA KING CNM (OWNER)
- **Authorized official phone:** (714) 470-1506

## Contact information

- **Practice address:** 1881 BUSINESS CENTER DR STE 8A, SAN BERNARDINO, CA 92408-3448
- **Practice address phone:** (844) 452-0385
- **Mailing address:** 6240 BLACK PEARL CT, JURUPA VALLEY, CA 91752-4405
- **Mailing address phone:** (714) 470-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | NULL | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | — | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | NULL | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | — | — |
| 163WN0003X | Low-Risk Neonatal Registered Nurse | — | NULL | — |
| 163WN0003X | Low-Risk Neonatal Registered Nurse | — | — | — |
| 163WP1700X | Perinatal Registered Nurse | — | NULL | — |
| 163WP1700X | Perinatal Registered Nurse | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 01/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12646542 | CAQH PROVIDER ID | CA |