Healthcare Provider Details

I. General information

NPI: 1053627778
Provider Name (Legal Business Name): SONIA CRISTINA MAYS CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONIA CRISTINA HALMAGEAN CNM, WHNP

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 12/21/2021
Certification Date: 12/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E WALNUT ST
PASADENA CA
91188-0001
US

IV. Provider business mailing address

15016 AVENIDA VENUSTO #164
SAN DIEGO CA
92128-3852
US

V. Phone/Fax

Practice location:
  • Phone: 626-405-3224
  • Fax:
Mailing address:
  • Phone: 909-732-9462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number683637
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1909
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: