Individual provider Active NPI

Lauren Simon

  • Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1073848628
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95033253 Issued in CA
Practice address
160 S Old Springs Rd Ste 280
Anaheim, CA 92808-1279
Phone
(949) 674-5326
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95033253 CA Primary
Marriage & Family Therapist 106H00000X IMF60239 CA

Addresses

Primary practice location

160 S Old Springs Rd Ste 280
Anaheim, CA 92808-1279

Mailing address

160 S Old Springs Rd Ste 280
Anaheim, CA 92808-1279
Phone (949) 674-5326

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

State licenses

LicenseStateTypeSpecialty
IMF60239CAMDMarriage & Family Therapist
95033253CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Heart Hospice and Palliative Care Incorporated CurrentSince Jun 23, 2025 Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

160 S Old Springs Rd
Ste 280
Anaheim, CA 92808
Phone (949) 674-5326

Organizations & group practices 2

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1073848628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 280",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081279",
            "telephone_number": "949-674-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 280",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081279",
            "telephone_number": "949-674-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95033253",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF60239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.