Anissa Nishira Cornelius, LM, CPM, IBCLC
NPI 1093067274ActiveIndividual· Midwife· San Diego, CA
Midwife (LM, CPM, IBCLC) in San Diego, California, licensed in CA, with an NPI issued in October 2012.
Overview
| NPI | 1093067274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LM, CPM, IBCLC |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2012 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Midwife Primary | 176B00000X | 765 | CA |
| Lactation Consultant, Non-RN | 174N00000X | L-314425 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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