Andrea Pongo, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

567 Issued in CA

Practice address

3355 Cochran St Ste 205
Simi Valley, CA 93063-2500

Phone

(661) 347-8342

Fax

(661) 481-7277

NPI assigned

Apr 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wholistic Birth and Wellness Inc

  • Midwife
  • Simi Valley, CA
  • NPI 1952281487
  NPD Authorized official
• Wholistic Lactation LLC

  • Obstetrics & Gynecology Physician
  • Simi Valley, CA
  • NPI 1629907639
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1043773369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 COCHRAN ST STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632500",
            "telephone_number": "613-478-3426",
            "fax_number": "661-481-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 COCHRAN ST STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632500",
            "telephone_number": "661-347-8342",
            "fax_number": "661-481-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGO",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Anne Poehler, PHARMD
• Mayra Alejandra Larissa Poggio
• Pokras & Trnavsky, a Calif. Dental Corporation
• Tori Ann Polito
• Laurie Lynne Pollock, RD
• Lisa B. Popkoff, D.D.S.
• Joseph Anthony Porras
• Elena Marie Porter, D.C.
• Breanna Marie Posadas
• Claudia I Posso, D.D.S.

• Midwife in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.