Healthcare Provider Details

I. General information

NPI: 1366243651
Provider Name (Legal Business Name): BAY AREA BREASTFEEDING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2317 VINE HILL RD
SANTA CRUZ CA
95065-9508
US

IV. Provider business mailing address

2317 VINE HILL RD
SANTA CRUZ CA
95065-9508
US

V. Phone/Fax

Practice location:
  • Phone: 321-432-1979
  • Fax:
Mailing address:
  • Phone: 321-432-1979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SILVER
Title or Position: OWNER
Credential:
Phone: 321-432-1979