REBECCA LYNN TIDWELL PREDILETTO (NPI# 1851558696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851558696 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN TIDWELL PREDILETTO |
| Credential | CNM |
| Practice Address |
1416 El Centro St South Pasadena CA 91030-3202 |
| Mailing Address |
2489 Loy Ln Los Angeles CA 90041-1817 |
| Practice Telephone | 6265772229 |
| Mailing Telephone | 2139234042 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 222 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1820 Montrose St, Los Angeles, CA 900264110 | 2139234042 | 2133539840 |
| Street Address |
1416 EL CENTRO ST |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828915 | Molly Mack | Nurse Practitioner | 1416 El Centro St, South Pasadena, CA 91030-3202 | 2017-08-29 |
| 1790157915 | Jennifer Buchanan | Advanced Practice Midwife | 1416 El Centro St, Suite 100, South Pasadena, CA 91030-3202 | 2015-10-27 |
| 1467844720 | Jamie Lynn Hatcher | Midwife | 1416 El Centro St, South Pasadena, CA 91030-3202 | 2015-02-24 |
| 1598187551 | Del Mar Birth Center Inc., A Nursing Corporation | Clinic/Center | 1416 El Centro St, Suite 100, South Pasadena, CA 91030-3202 | 2014-01-10 |
| 1932530391 | Del Mar Birth Center, LLC | Clinic/Center | 1416 El Centro St, Suite 100, South Pasadena, CA 91030-3202 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| 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. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467844720 | Jamie Lynn Hatcher | Midwife | 1416 El Centro St, South Pasadena, CA 91030-3202 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445481 | Ananda Szerman | Midwife | 3350 Michelle Ct, Simi Valley, CA 93063-1019 | 2020-10-20 |
| 1922605914 | Jordan Joy Mccart | Midwife | 1148 Spazier Ave Apt B, Glendale, CA 91201-3771 | 2020-10-03 |
| 1629675772 | Amanda Latham | Midwife | 33690 Almond St, Wildomar, CA 92595-8752 | 2020-10-01 |
| 1093322406 | Catalina Francesca Betty Clark | Midwife | 3203 Johnston Ave, Redondo Beach, CA 90278-1520 | 2020-09-29 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548875255 | Charlee Haller | Midwife | 5632 Silverado Trl, Napa, CA 94558-9412 | 2020-09-09 |
| 1699387217 | Brittany Eldridge | Midwife | 71 Bemis St, San Francisco, CA 94131-3019 | 2020-08-17 |
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1225653900 | Kimberly Riego Catbagan Bongcaron | Midwife | 12 Aster Ln, Compton, CA 90221-3823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.