Provider Demographics
NPI:1396948014
Name:AMA MAMA - BIRTH, BABIES & BEYOND
Entity type:Organization
Organization Name:AMA MAMA - BIRTH, BABIES & BEYOND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:619-379-2448
Mailing Address - Street 1:2146 ENCINITAS BLVD
Mailing Address - Street 2:SUITE 105-106
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4371
Mailing Address - Country:US
Mailing Address - Phone:760-944-3987
Mailing Address - Fax:760-944-6999
Practice Address - Street 1:2146 ENCINITAS BLVD
Practice Address - Street 2:SUITE 105-106
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4371
Practice Address - Country:US
Practice Address - Phone:760-944-3987
Practice Address - Fax:760-944-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA186176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty