Provider Demographics
NPI:1992154926
Name:GOLDEN OAK MIDWIVES
Entity type:Organization
Organization Name:GOLDEN OAK MIDWIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:510-775-2229
Mailing Address - Street 1:419-30TH ST, SUITE 2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609
Mailing Address - Country:US
Mailing Address - Phone:510-775-2229
Mailing Address - Fax:510-590-9938
Practice Address - Street 1:419-30TH ST, SUITE 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:510-775-2229
Practice Address - Fax:510-590-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1997367A00000X
CA1736367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty