Individual provider Active NPI

Simy Siemkhorn Morano

  • Primary Care Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1104458017
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95015147 Issued in CA
Practice address
1907 Border Ave
Torrance, CA 90501-3606
Phone
(844) 443-6246
Fax
(833) 907-2235
NPI assigned
Feb 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95015147 CA Primary

Addresses

Primary practice location

1907 Border Ave
Torrance, CA 90501-3606

Mailing address

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

Other practice location 1

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 292-7775

Other practice location 2

1010 Tiogue Ave Ste 10
Coventry, RI 02816-6119
Phone (844) 443-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA, MI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241218002394 NY Practitioner - Nurse Practitioner 5496282246 Reassigns benefits to 1 organization
I20241230000084 NJ Practitioner - Nurse Practitioner 5496282246 Reassigns benefits to 2 organizations
I20250108003600 CA Practitioner - Nurse Practitioner 5496282246 Reassigns benefits to 1 organization
I20251222000911 MI Practitioner - Nurse Practitioner 5496282246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Medical Healthcare PCGroup PAC ID 3072919315, 8 clinicians

Practice addresses (Care Compare)

35 W 35TH St
FL 4
New York, NY 10001-2249
Phone (844) 553-6246

493 W Norton Ave
Suite D
Norton Shores, MI 49444-3748
Phone (844) 443-6246

701 Cooper Rd
Suite 1
Voorhees, NJ 08043-3800
Phone (866) 349-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Healthcare, P.C. CurrentSince Oct 14, 2024 Accepting new patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Oct 24, 2024 Accepting new patients
Mobile Urgent Care Medical Services PC CurrentSince Feb 3, 2026 Accepting new patients

Locations

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

493 W Norton Ave
Ste D
Norton Shores, MI 49444

701 Cooper Rd
Ste 1
Voorhees, NJ 08043
Phone (844) 553-6246

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

35 W 35th St
Fl 6
New York, NY 10001
Phone (347) 903-5933

Interoperability endpoints

  • Direct secure messaging: simy.hei.1@24989.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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1104458017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171901",
            "telephone_number": "213-977-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "213-292-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Tiogue Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166119",
            "country_code": "US",
            "telephone_number": "844-443-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORANO",
        "first_name": "SIMY",
        "middle_name": "SIEMKHORN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.