Individual provider Active NPI

Benjamin D Simpson, P.A.

  • Medical Physician Assistant
  • Riverdale, CA
National Provider Identifier
1013224369
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21133 Issued in CA
Practice address
3567 W. Mt. Whitney Ave.
Riverdale, CA 93656
Phone
(559) 867-4416
Fax
(559) 867-3010
NPI assigned
Sep 8, 2010
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21133 CA Primary

Addresses

Primary practice location

3567 W. Mt. Whitney Ave.
Riverdale, CA 93656

Mailing address

PO Box 543
Riverdale, CA 93656-0543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000137 CA Practitioner - Physician Assistant 1254576861 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Mar 1, 2013 Accepting new patients
Cep America-California CurrentSince Mar 1, 2013 Accepting new patients
Cep America-California CurrentSince Mar 1, 2013 Accepting new patients
Kaweah Delta Health Care District CurrentSince Dec 1, 2023 Accepting new patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Mar 1, 2013 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1013224369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "936560543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 W. MT. WHITNEY AVE.",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "93656",
            "telephone_number": "559-867-4416",
            "fax_number": "559-867-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, CA

Sources for this page

Verify at the official NPI Registry.