Healthcare Provider Details

I. General information

NPI: 1366031379
Provider Name (Legal Business Name): SIMI VALLEY MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 APRICOT RD
SIMI VALLEY CA
93063-2317
US

IV. Provider business mailing address

4380 APRICOT RD
SIMI VALLEY CA
93063-2317
US

V. Phone/Fax

Practice location:
  • Phone: 805-587-1957
  • Fax: 805-521-3646
Mailing address:
  • Phone: 805-422-3004
  • Fax: 805-521-3646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MARRIOTT
Title or Position: OWNER, LICENSED MIDWIFE
Credential: BS, LM, CPM
Phone: 805-587-1957