Active NPI
Simran Idnani, DNP, PMH-BC
- Psychiatric/Mental Health Nurse Practitioner
- Diamond Bar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 407201
- Practice address
- 1328 Summitridge Dr
Diamond Bar, CA 91765-4342 - Phone
- (909) 569-5200
- NPI assigned
- Jul 28, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407201 | NY | Primary |
Addresses
Primary practice location
1328 Summitridge Dr
Diamond Bar, CA 91765-4342
Mailing address
1328 Summitridge Dr
Diamond Bar, CA 91765-4342
Phone (909) 569-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260519002246 | CA | Practitioner - Nurse Practitioner | 7214406248 | Reassigns benefits to 1 organization |
| I20260520003538 | NY | Practitioner - Nurse Practitioner | 7214406248 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407201 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas and Flatow Medical Corporation | Current | Accepting new patients | |
| Flatow Medical Corporation Apc | Current | Accepting new patients |
Locations
16485 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (310) 571-5041
320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041
2211 Corinth Ave
Ste 300
Los Angeles, CA 90064
Phone (562) 279-0180
11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1336745058
NY
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1609377902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1114800174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 SUMMITRIDGE DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654342",
"telephone_number": "909-569-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 SUMMITRIDGE DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654342",
"telephone_number": "909-569-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDNANI",
"first_name": "SIMRAN",
"name_prefix": "Dr.",
"credential": "DNP, PMH-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "407201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.