Active NPI
Michael De Leon Simbulan, PT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1104121946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35665
- Practice address
- 540 E Nees Ave
# 257
Fresno, CA 93720-0964 - Phone
- (336) 734-8052
- NPI assigned
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35665 | CA | Primary |
Addresses
Primary practice location
540 E Nees Ave
# 257
Fresno, CA 93720-0964
Mailing address
540 E Nees Ave
# 257
Fresno, CA 93720-0964
Phone (336) 734-8052
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1104121946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E NEES AVE",
"address_2": "# 257",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200964",
"telephone_number": "336-734-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E NEES AVE",
"address_2": "# 257",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200964",
"telephone_number": "336-734-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMBULAN",
"first_name": "MICHAEL",
"middle_name": "DE LEON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.