Malgorzata Rajtar-Sullivan, LM, CPM, IBCLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM724 Issued in CA

Practice address

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

Phone

(661) 347-8342

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1982365649",
    "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": "661-347-8342"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJTAR-SULLIVAN",
        "first_name": "MALGORZATA",
        "credential": "LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-305466",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-305466",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "LM724",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 21, 2024; 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.