Healthcare Provider Details

I. General information

NPI: 1447854211
Provider Name (Legal Business Name): COMMUNITY BIRTH WORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5735 SHATTUCK AVE
OAKLAND CA
94609-1640
US

IV. Provider business mailing address

3244 LOUISE ST
OAKLAND CA
94608-4122
US

V. Phone/Fax

Practice location:
  • Phone: 415-794-9031
  • Fax: 510-373-6446
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA BANKS
Title or Position: DIRECTOR
Credential: CNM
Phone: 415-794-9031