Healthcare Provider Details

I. General information

NPI: 1821599903
Provider Name (Legal Business Name): PAMELA SIMPSON CNM, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 MARSHALL AVE
IMPERIAL CA
92251-9599
US

IV. Provider business mailing address

PO BOX 674
RANCHO SANTA FE CA
92067-0674
US

V. Phone/Fax

Practice location:
  • Phone: 760-550-6327
  • Fax: 760-550-6331
Mailing address:
  • Phone: 858-869-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberNMW235841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: