Healthcare Provider Details

I. General information

NPI: 1538093695
Provider Name (Legal Business Name): JONI TUTTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9399 MADISON AVE STE 103
ORANGEVALE CA
95662-4976
US

IV. Provider business mailing address

1194 BARNHILL LN
LINCOLN CA
95648-3243
US

V. Phone/Fax

Practice location:
  • Phone: 916-827-5571
  • Fax: 916-827-0872
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: