Healthcare Provider Details

I. General information

NPI: 1013884550
Provider Name (Legal Business Name): KIMBERLY KAI RICHARDSON BIRTHING DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIKI KAI NAVARRO BIRTHING DOULA

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 CAMELLIA ST
WASCO CA
93280-2410
US

IV. Provider business mailing address

2416 CAMELLIA ST
WASCO CA
93280-2410
US

V. Phone/Fax

Practice location:
  • Phone: 661-900-3540
  • Fax: 661-405-2191
Mailing address:
  • Phone: 661-900-3540
  • Fax: 661-405-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: