Active NPI
Fiji Simmons, FNP-BC
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10009898
- Practice address
- 11150 W Olympic Blvd Ste 780
Los Angeles, CA 90064-1829 - Phone
- (213) 721-1571
- Fax
- (213) 721-1578
- NPI assigned
- Feb 3, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10009898 | OR | Primary |
| Pain Management Registered Nurse | 163WP0000X | 671631 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95016622 | CA | |
| Nurse Practitioner | 363L00000X | 95016622 | CA |
Addresses
Primary practice location
11150 W Olympic Blvd Ste 780
Los Angeles, CA 90064-1829
Mailing address
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143
Other practice location 1
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500828290 | Medicaid | OR |
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: No
Enrollment records 1
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
Practice addresses (Care Compare)
12640 Hesperia Rd
Suite D
Victorville, CA 92395-7753
Phone (760) 684-4143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016622 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Nurse Practitioner | Current | Accepting new patients |
| Minuteclinic Diagnostic Medical Group of California Inc | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic Medical Group of San Diego Inc | Family | Current | Accepting new patients |
| Seasons Hospice & Palliative Care of California- San Bernardino, LLC | Past | Accepting new patients |
Locations
1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210
2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221
2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390
11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098
4829 Clairemont Dr
San Diego, CA 92117
Phone (858) 273-5300
921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473
33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154
2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221
Interoperability endpoints
- fsimmons@landmarkhealth-direct.org
- fiji.simmons.1@31321.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Rancho Mirage, CA
- NPI 1922440684
-
- Family Nurse Practitioner
- Burbank, CA
- NPI 1033309372
-
- Nurse Practitioner
- Irvine, CA
- NPI 1104013879
-
- Family Nurse Practitioner
- El Cajon, CA
- NPI 1568659233
-
- Community Based Hospice Care Agency
- Ontario, CA
- NPI 1336408848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1124659685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD STE D",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4143",
"fax_number": "764-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 W OLYMPIC BLVD STE 780",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641829",
"telephone_number": "213-721-1571",
"fax_number": "213-721-1578"
}
],
"practiceLocations": [
{
"address_1": "12640 Hesperia Rd Ste D",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923957753",
"country_code": "US",
"telephone_number": "760-684-4143",
"fax_number": "764-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "FIJI",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10009898",
"primary": true
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "CA",
"license": "671631",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016622",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95016622",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500828290",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.