Healthcare Provider Details

I. General information

NPI: 1770418402
Provider Name (Legal Business Name): BIRTHSTONE WOMENS WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39825 ALTA MURRIETA DR
MURRIETA CA
92563-5446
US

IV. Provider business mailing address

39825 ALTA MURRIETA DR
MURRIETA CA
92563-5446
US

V. Phone/Fax

Practice location:
  • Phone: 951-481-1715
  • Fax: 951-709-0752
Mailing address:
  • Phone: 951-481-1715
  • Fax: 951-709-0752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAYNA CHESSMAN
Title or Position: MIDWIFE
Credential: LM, CPM
Phone: 951-481-1715