Healthcare Provider Details

I. General information

NPI: 1013469790
Provider Name (Legal Business Name): AIMEE TOM CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 TELEGRAPH AVE STE 103
OAKLAND CA
94609-1359
US

IV. Provider business mailing address

5957 CHABOLYN TER
OAKLAND CA
94618-1913
US

V. Phone/Fax

Practice location:
  • Phone: 510-761-8025
  • Fax:
Mailing address:
  • Phone: 510-882-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: