MS. RENAE LAREE BLACK (NPI# 1962464057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962464057 |
| Entity Type | Individual |
| Full Name | MS. RENAE LAREE BLACK |
| Credential | CNM |
| Practice Address |
250 Travelodge Dr Kaiser Permanente El Cajon CA 92020-4126 |
| Practice Telephone | 6194413021 |
| Mailing Telephone | 6194413021 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 446374 | CA | Other Service Providers |
| Street Address |
250 TRAVELODGE DR KAISER PERMANENTE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194181834 | Dau Nguyen | Physical Therapist | 250 Travelodge Dr, Physical Therapy Department, El Cajon, CA 92020-4126 | 2016-01-11 |
| 1902277015 | Daphne Lee | Pharmacist | 250 Travelodge Dr, Outpatient Pharmacy - 1st Floor, El Cajon, CA 92020-4126 | 2015-10-15 |
| 1528499282 | Alan Cao | Podiatrist | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2013-12-06 |
| 1588917173 | Ashley Marie Calvillo | Student in an Organized Health Care Education/Training Program | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2012-10-19 |
| 1770839334 | Carole Lynn Harris | Nurse Practitioner | 250 Travelodge Dr, Ob/gyn, El Cajon, CA 92020-4126 | 2012-07-31 |
| 1811284151 | Evan Kathleen Harrison | Obstetrics & Gynecology | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2011-07-07 |
| 1780830885 | Najeeb Khan | Orthopaedic Surgery | 250 Travelodge Dr, El Cajon, El Cajon, CA 92020-4126 | 2008-08-08 |
| 1417122698 | Joseph Estephan Sadekian | Health Maintenance Organization | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2008-04-28 |
| 1285809467 | Paul Mehdi Hamrah | Health Maintenance Organization | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2008-04-28 |
| 1023287786 | Yong Kwon | Orthopaedic Surgery | 250 Travelodge Dr, El Cajon, CA 92020-4126 | 2008-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| 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 |
|---|---|---|---|---|
| 1912219742 | Celesta Rannisi Owen | Midwife | 9936 Chocolate Summit Dr, El Cajon, CA 92021-2612 | 2010-07-09 |
| 1902131790 | Sarah Danielle Burns | Midwife | 15635 Hawley Pl, El Cajon, CA 92021-2563 | 2009-10-12 |
| 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 |
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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.