Active NPI
Pamela Grimshaw, CNM
- Advanced Practice Midwife
- Los Angeles, CA
National Provider Identifier
1568524676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 301212
- Practice address
- 2030 W Pico Blvd
Los Angeles, CA 90006-5011 - Phone
- (213) 389-4544
- Fax
- (213) 389-4554
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 301212 | CA | Primary |
Addresses
Primary practice location
2030 W Pico Blvd
Los Angeles, CA 90006-5011
Mailing address
2030 W Pico Blvd
Los Angeles, CA 90006-5011
Phone (213) 389-4544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301212 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1568524676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065011",
"telephone_number": "213-389-4544",
"fax_number": "213-389-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065011",
"telephone_number": "213-389-4544",
"fax_number": "213-389-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMSHAW",
"first_name": "PAMELA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "301212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.