Healthcare Provider Details

I. General information

NPI: 1568855187
Provider Name (Legal Business Name): CRISTI LEWIS LM, CPM, CHOM.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E ALVARADO ST
FALLBROOK CA
92028-2049
US

IV. Provider business mailing address

123 E ALVARADO ST
FALLBROOK CA
92028-2049
US

V. Phone/Fax

Practice location:
  • Phone: 760-645-3447
  • Fax: 951-200-4396
Mailing address:
  • Phone: 760-645-3445
  • Fax: 951-200-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: