ORIGIN PREGNANCY BOUTIQUE – NPI #1255661583
Radiologic Technologist

A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

ORIGIN PREGNANCY BOUTIQUE is a radiologic technologist located in MENDOCINO, CA. NPPES has assigned the NPI number 1255661583 to ORIGIN PREGNANCY BOUTIQUE on January 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2471S1302X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Sonography Radiologic Technologist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORIGIN PREGNANCY BOUTIQUE below.

NPI Profile for
ORIGIN PREGNANCY BOUTIQUE

NPI Number
1255661583
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORIGIN PREGNANCY BOUTIQUE
Primary location
45040 MAIN STREET
B
MENDOCINO, CA 95460
Phone: (707) 937-1477 Fax: (707) 937-1480
Mailing address
33275 PACIFIC WAY
FORT BRAGG, CA 95437-9226
Phone: (707) 937-1477 Fax: (707) 937-1480
Organization Subpart
No
Authorized Official
AMY DAVIS
OWNER/SONOGRAPHER
Phone: (707) 937-1477
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2471S1302X
- Radiologic Technologist / Sonography Radiologic Technologist (Primary)
CA RDMS81478

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.