YOLANDA BLACK FORTIN (NPI# 1649518648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649518648 |
| Entity Type | Individual |
| Full Name | YOLANDA BLACK FORTIN |
| Credential | PHD, IBCLC |
| Practice Address |
22 Mayer Ct Irvine CA 92617-4113 |
| Practice Telephone | 6179703046 |
| Practice Fax Number | 9498547154 |
| Mailing Telephone | 6179703046 |
| Mailing Fax Number | 9498547154 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
22 MAYER CT |
| City | IRVINE |
| State | CA |
| Zip Code | 92617-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547260 | Christopher Michael Amato | Physical Therapist | 69313 Verano Place, Irvine, CA 92617 | 2017-09-09 |
| 1790333227 | Discovery Genomics, Inc. | Clinical Medical Laboratory | 130 Theory Ste 150, Irvine, CA 92617-3028 | 2019-08-28 |
| 1346861457 | Lydia Romanovna Kirillova | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-04-29 |
| 1003444969 | Danielle Zezoff | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-27 |
| 1508491630 | Keaton William Cooley-rieders | Registered Nurse | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-09 |
| 1538793302 | Emily Frisch | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-02 |
| 1528692449 | Katherine Moran | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-02-29 |
| 1164913539 | Mohammad Riazi Esfahani | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2018-05-22 |
| 1699126425 | Aman Mittal | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2016-06-22 |
| 1346501137 | Kevin Jwo | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-06-07 |
| Find all providers in zip 92617 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043612765 | Sunny Tsunjan Huang | Lactation Consultant, Non-RN | 17303 Dana, Irvine, CA 92618-1136 | 2014-09-25 |
| 1750639167 | Ferdinanda Margaretha Gortzak | Lactation Consultant, Non-RN | 82 Whitman Ct, Irvine, CA 92617-4065 | 2012-08-16 |
| 1184903700 | Megumi Takeda Morgia | Lactation Consultant, Non-RN | 5051 Alton Pkwy Apt 105, Irvine, CA 92604-8619 | 2011-08-13 |
| 1205475852 | Michelle Erin Jacobs | Lactation Consultant, Non-RN | 22 Odyssey Ste 255, Irvine, CA 92618-7701 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
| 1760083216 | Teresa Marie Peters | Lactation Consultant, Non-RN | 1120 S Santa Anita Ave Apt A, Arcadia, CA 91006-4029 | 2020-11-02 |
| 1982203667 | Paula Conriquez | Lactation Consultant, Non-RN | 6230 Drop Off Rd, Pollock Pines, CA 95726-9633 | 2020-10-22 |
| 1265031397 | Arabella Hancock | Lactation Consultant, Non-RN | 1038 Rose Ave, Pasadena, CA 91107-1867 | 2020-10-20 |
| 1194331314 | Madison Benstead | Lactation Consultant, Non-RN | 26672 Fino Ct, Redlands, CA 92373-4318 | 2020-09-22 |
| 1952917189 | Kayla Benado | Lactation Consultant, Non-RN | 4653 California Blvd, Santa Maria, CA 93455-4158 | 2020-09-22 |
| 1376152835 | Rebecca Howell | Lactation Consultant, Non-RN | 4811 N Bellflower Blvd, Long Beach, CA 90808-1121 | 2020-07-30 |
| 1740898659 | Heidi Burke-pevney | Lactation Consultant, Non-RN | 1808 Sheridan Way, San Marcos, CA 92078-0929 | 2020-07-16 |
| 1942828140 | Megan Zoe Barrett | Lactation Consultant, Non-RN | 49 Bonita Ave, Piedmont, CA 94611-3947 | 2020-07-14 |
| 1225659840 | Antonina Proshak | Lactation Consultant, Non-RN | 811 Grand Ave Ste A1, Sacramento, CA 95838-3466 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.