MEDICARE: FOX & CUB FAMILY WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1447149802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOX & CUB FAMILY WELLNESS

Provider Business Mailing Address
First Line	:	1275 4TH ST UNIT 267
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-4057
Country	:	US
Telephone Number	:	707-480-3235
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 ROHNERT PARK EXPRESSWAY
Second Line	:	APT 247
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928
Country	:	US
Telephone Number	:	707-480-3235
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLIVIA FOX
Credential	:	CD-L, P-ICD
Telephone Number	:	707-480-3235

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	03/03/2026

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