NATAL ACHI, IBCLC — NPI 1629848221 (Licensed & Credentialed Lactation Consultant, Non-RN in GLENDORA, CA)

CMS-1500 Box 24J / 33a • NPI

1629848221

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

174N00000X

Licensed & Credentialed Lactation Consultant, Non-RN

Box 32 Service Location & ZIP+4

412 W CARROLL AVE STE 105, GLENDORA, CA, 91741-4705

✓ 9-Digit EDI 837 ZIP+4 (91741-4705)

Practice Phone & Referral Fax

(909) 740-3094

Fax: (909) 740-3549

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629848221 (NATAL ACHI, IBCLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629848221` (NPI-1 Individual Practitioner)
Provider / Legal Name	NATAL ACHI, IBCLC
Plain-English Specialty	Licensed & Credentialed Lactation Consultant, Non-RN NUCC Code: `174N00000X` (Lactation Consultant, Non-RN)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	412 W CARROLL AVE STE 105, GLENDORA, CA, 91741-4705
Practice Telephone / Fax	Tel: (909) 740-3094 \| Fax: (909) 740-3549
Administrative Mailing Address	6411 WHEELER AVE, LA VERNE, CA, 91750-1247
Enumeration & Last Sync	Enumerated: 2024-01-04 \| CMS Record Updated: 2025-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

412 W CARROLL AVE STE 105, GLENDORA, CA, 91741-4705

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Plain-English Taxonomy & CMS Crosswalk (174N00000X)

What Does Taxonomy Code 174N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174N00000X translates to:
"Licensed & Credentialed Lactation Consultant, Non-RN"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Lactation Consultant, Non-RN for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NATAL ACHI, IBCLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174N00000X` — Lactation Consultant, Non-RN Plain English: Licensed & Credentialed Lactation Consultant, Non-RN	State: N/A \| License: `L-307274` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NATAL ACHI, IBCLC (NPI #1629848221)