Active NPI
Simran Sethi, M.D.
- General Practice Physician
- Lodi, CA
National Provider Identifier
1083801484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A101075
- Practice address
- 1901 W Kettleman LN
Suite 200
Lodi, CA 95242-4337 - Phone
- (209) 334-8540
- Fax
- (209) 368-2885
- NPI assigned
- Sep 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A101075 | CA | Primary |
Addresses
Primary practice location
1901 W Kettleman LN
Suite 200
Lodi, CA 95242-4337
Mailing address
PO Box 241011
Lodi, CA 95241-9511
Phone (209) 339-7435
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101075 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Hospitalist Medical Group, Inc. | Current | Accepting new patients |
Locations
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
Interoperability endpoints
- ssethi227404@hpmg.direct-ci.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1083801484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241011",
"city": "LODI",
"state": "CA",
"postal_code": "952419511",
"telephone_number": "209-339-7435",
"fax_number": "209-339-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W KETTLEMAN LN",
"address_2": "SUITE 200",
"city": "LODI",
"state": "CA",
"postal_code": "952424337",
"telephone_number": "209-334-8540",
"fax_number": "209-368-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETHI",
"first_name": "SIMRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-29",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A101075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.