Margo M Pfunder, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1096 Issued in CA

Practice address

780 E Washington Blvd
Suite 202
Crescent City, CA 95531-8397

Phone

(707) 464-6175

Fax

(707) 465-0870

NPI assigned

Oct 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1255415626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 73679",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "707-464-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E WASHINGTON BLVD",
            "address_2": "SUITE 202",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318397",
            "telephone_number": "707-464-6175",
            "fax_number": "707-465-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFUNDER",
        "first_name": "MARGO",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NMW010960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE MIDWIFE CERTIFICATE",
            "identifier": "1096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clint Troy Pearson, MD
• Kayla Jean Penner
• Sandy Gail Penner, RDH
• Luana Pennington, BSN, RN
• Celia Perez, ACSW
• Robert Ming Phang, D.D.S.
• Jason Lee Pimentel, RAC #15174
• Stephania Pipinos, NCBTMB
• Laurel Plunkett
• Heather Christine Polen

• Advanced Practice Midwife in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.