Andrea Francesca Simmons, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT18067 Issued in CA

Practice address

24330 Narbonne Ave
Lomita, CA 90717-1131

Phone

(213) 305-3192

Fax

(310) 257-0213

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1083795603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 S LELAND ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316425",
            "telephone_number": "310-222-3140",
            "fax_number": "310-533-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24330 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171131",
            "telephone_number": "213-305-3192",
            "fax_number": "310-257-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ANDREA",
        "middle_name": "FRANCESCA",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT18067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Marie Scruggs
• Sabrina Gwendolyn Serrano
• Samantha Bianca Serrano
• Kristin Shimazaki, PA-C
• Jasmin Shoffner, LMFT
• Gabrielle Simmons
• Merceditas Sinsioco
• Joann M Smith
• South Bay Eye Care Optometry, Inc
• South Bay Nets, LLC

• Licensed Psychiatric Technician in Lomita, CA
• Providers in Lomita, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.