Individual provider Active NPI

Simran Idnani, DNP, PMH-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Diamond Bar, CA
National Provider Identifier
1114800174
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407201 Issued in NY
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

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
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
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

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

LicenseStateTypeSpecialty
407201NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas and Flatow Medical Corporation CurrentSince Mar 21, 2026 Accepting new patients
Flatow Medical Corporation Apc CurrentSince Mar 21, 2026 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.

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

Verify at the official NPI Registry.