Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anissa Nishira Cornelius, LM, CPM, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1093067274

Anissa Nishira Cornelius, LM, CPM, IBCLC is a Lactation Consultant (Non-RN) in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4545 Fanuel St
San Diego, CA 92109-2904
Phone: (858) 900-2004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8550 Gold Coast Dr, San Diego, CA 92126-3606 — (951) 347-5418

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 765 (CA)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-314425

Record details

NPI number1093067274
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM , CPM , IBCLC
Sole proprietorYes
NPI enumeratedOctober 11, 2012
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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