MEDICARE: MS. JOCELYN ELIZABETH HART CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	235733	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F001246	OTHER	NY	NEW YORK STATE MIDWIFE LICENSE

General Provider Information

NPI Number	:	1629144092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOCELYN ELIZABETH HART CNM

Provider Business Mailing Address
First Line	:	3751 WASATCH AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3633
Country	:	US
Telephone Number	:	718-753-4715
Fax Number	:

Provider Business Practice Location Address
First Line	:	3751 WASATCH AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3633
Country	:	US
Telephone Number	:	310-694-7116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/24/2025

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