Individual provider Active NPI

Brighid Hayes Simmons, D.O.

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1063757755
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0102203315 Issued in VA
Practice address
601 McCain Blvd
San Diego, CA 92134-1089
Phone
(602) 570-3947
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102203315 VA Primary

Addresses

Primary practice location

601 McCain Blvd
San Diego, CA 92134-1089

Mailing address

6486 Seaman St
San Diego, CA 92120-2628
Phone (602) 570-3947

Other practice location 1

1050 Kiely Blvd Unit 2368
Santa Clara, CA 95055-5015
Phone (408) 337-2363

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518003574 CA Practitioner - General Practice 3870991854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19175CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc CurrentSince Dec 1, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Dec 1, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients

Locations

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

430 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8900

Interoperability endpoints

  • Direct secure messaging: brighid.simmons.1@17363.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1063757755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6486 SEAMAN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202628",
            "telephone_number": "602-570-3947",
            "fax_number": "408-884-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MCCAIN BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341089",
            "telephone_number": "602-570-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Kiely Blvd Unit 2368",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950555015",
            "country_code": "US",
            "telephone_number": "408-337-2363",
            "fax_number": "408-884-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRIGHID",
        "middle_name": "HAYES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102203315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.