Pamela Ann Mizell, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1252 Issued in CA

Practice address

17175 Gillette Ave
Irvine, CA 92614-5602

Phone

(949) 735-6803

Fax

(949) 660-7139

NPI assigned

Oct 1, 2019

Reactivated

Sep 14, 2023

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

University of California, Irvine, California College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oso Specialty Infusion IncGroup PAC ID 3274894720, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oso Home Care, Inc.

  • Home Infusion Agency
  • Irvine, CA
  • NPI 1215966205

  W-2 Managing Employee

  CMS ownership

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.

• Oso Specialty Infusion, Inc.

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1700305505
  Medicare reassignment Care Compare group
• Oso Home Care, Inc.

  • Home Infusion Agency
  • Irvine, CA
  • NPI 1215966205
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1447891346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17175 GILLETTE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145602",
            "telephone_number": "949-735-6803",
            "fax_number": "949-660-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 GILLETTE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145602",
            "telephone_number": "949-735-6803",
            "fax_number": "949-660-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2023-09-09",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Mitolo, PSY.D.
• Mitomed Diagnostics Laboratory
• Yuki J. Mitsuhashi-Acs, PSYD
• Takako Mitsuhashi, M.D.,PH.D.
• Dennis Yeichi Miyadi, OTR
• Ray Mizutari, BS
• MK SG Dental Corp (Orange County Dental Specialist)
• MKP Internal Medicine (Monique K Phan)
• MLJ Foundation
• Kauani K Moa I

• Advanced Practice Midwife in Irvine, CA
• Providers in Irvine, 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 Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.