MS. RENAE LAREE BLACK CNM
NPI 1962464057
Midwife in El Cajon, CA

NPI Status: Active since April 04, 2006

Contact Information

250 TRAVELODGE DR
KAISER PERMANENTE
EL CAJON, CA
ZIP 92020
Phone: (619) 441-3021

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  • Individual
  • Female
  • Midwife
  • PECOS Enrolled

About RENAE BLACK

This page provides the complete NPI Profile along with additional information for Renae Black, a provider established in El Cajon, California with a medical specialization in Midwife. The healthcare provider is registered in the NPI registry with number 1962464057 assigned on April 2006. The practitioner's primary taxonomy code is 176B00000X with license number 446374 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1962464057
Provider Name
MS. RENAE LAREE BLACK CNM
Gender
Female
Entity Type
Individual
Location Address
250 TRAVELODGE DR KAISER PERMANENTE EL CAJON, CA 92020
Location Phone
(619) 441-3021
Mailing Address
250 TRAVELODGE DR KAISER PERMANENTE EL CAJON, CA 92020
Mailing Phone
(619) 441-3021
Is Sole Proprietor?
No
Enumeration Date
04-04-2006
Last Update Date
11-29-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Midwife

Taxonomy Code
176B00000X
Type
Other Service Providers
License No.
446374
License State
CA
Taxonomy Description
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Medicare Participation & PECOS Enrollment Status

Renae Black is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. RENAE LAREE BLACK CNM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962464057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122868010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 6 + 8 + 0 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1962464057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861697351MR. PETER GUNNARSON RAMBO PT
Individual
Physical Therapist (Orthopedic)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3220
1417122698 JOSEPH ESTEPHAN SADEKIAN R.PH.
Individual
Health Maintenance Organization250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3149
1285809467 PAUL MEHDI HAMRAH PHARMACIST
Individual
Health Maintenance Organization250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3149
1902277015DR. DAPHNE LEE PHARM.D., RPH
Individual
Pharmacist250 TRAVELODGE DR OUTPATIENT PHARMACY - 1ST FLOOR
EL CAJON, CA 92020
(619) 441-3149
1194181834 DAU NGUYEN
Individual
Physical Therapist250 TRAVELODGE DR PHYSICAL THERAPY DEPARTMENT
EL CAJON, CA 92020
(619) 528-5000
1417152307 ALFRED ALLAN KURZ P.T.
Individual
Physical Therapist (Orthopedic)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3112
1285839977 KEVIN WYNVEEN
Individual
Physical Therapist (Orthopedic)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3006
1467657353MR. JACK DABBERT P.T.
Individual
Physical Therapist (Orthopedic)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 441-3112
1528499282DR. ALAN CAO DPM
Individual
Podiatrist (Foot & Ankle Surgery)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 528-5000
1770839334 CAROLE LYNN HARRIS NP
Individual
Nurse Practitioner (Women's Health)250 TRAVELODGE DR OB/GYN
EL CAJON, CA 92020
(800) 290-5000
1023287786DR. YONG KWON MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)250 TRAVELODGE DR
EL CAJON, CA 92020
(866) 459-2912
1497117626 NAJIB USSEF MD
Individual
Orthopaedic Surgery (Sports Medicine)250 TRAVELODGE DR
EL CAJON, CA 92020
(858) 266-5000
1508061078MR. MICHAEL GEORGE HORAN MPT
Individual
Physical Therapist (Orthopedic)250 TRAVELODGE DR
EL CAJON, CA 92020
(619) 662-6935
1780830885DR. NAJEEB KHAN MD
Individual
Orthopaedic Surgery250 TRAVELODGE DR EL CAJON
EL CAJON, CA 92020
(866) 459-2912
1326539065MR. JAMES JOSEPH ZAPF JR. RN, NP
Individual
Nurse Practitioner (Family)250 TRAVELODGE DR
EL CAJON, CA 92020
(833) 574-2273
1568230712 AUSTIN KANG
Individual
Physical Therapist250 TRAVELODGE DR
EL CAJON, CA 92020
(833) 574-2273
1417586827 BRADLEY BOURGEOIS
Individual
Physical Therapist250 TRAVELODGE DR
EL CAJON, CA 92020
(335) 742-2738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962464057, enumerated in the NPI registry as an "individual" on April 04, 2006

The provider is located at 250 Travelodge Dr Kaiser Permanente El Cajon, Ca 92020 and the phone number is (619) 441-3021

The provider's speciality is Midwife with taxonomy code 176B00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on April 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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