IndividualActive
Anissa Cornelius, LM, CPM, IBCLC
NPI 1093067274 · Midwife · San Diego, CA
Provider details
- NPI number
- 1093067274
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- LM, CPM, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-314425
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
4545 Fanuel St
San Diego, CA 92109-2904
Phone: (858) 900-2004
Approximate (ZIP-level) locationGet directions
Mailing address
8550 Gold Coast Dr
San Diego, CA 92126-3606
Additional practice locations (1)
- 8550 Gold Coast DrSan Diego, CA 92126-3606Phone: (951) 347-5418
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.