Simonmed Imaging a Professional Corporation

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SIMONMED IMAGING A PROFESSIONAL CORPORATION

Practice address

400 Channing Ave
Palo Alto, CA 94301-2801

Phone

(650) 323-1343

Fax

(650) 323-1352

NPI assigned

Nov 8, 2010

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard J Simon, M.D.

Title

President

Phone

(480) 809-4829

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Randall Brand, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1659317667
  NPD (past)
• Douglas Earl Casey, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1821034653
  NPD (past)
• Michael Scott Dick, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1558406538
  NPD (past)
• Jeffrey A Dobkin, MD

  • Nuclear Radiology Physician
  • Signal Hill, CA
  • NPI 1215919147
  NPD (past)
• Jeffrey Merrick Dym, MD

  • Diagnostic Radiology Physician
  • Rancho Mission Viejo, CA
  • NPI 1124129788
  NPD (past)
• Gary Jay Goss, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1083659817
  NPD (past)
• Bradley Glenn Jann, D.P.M

  • Podiatrist
  • San Rafael, CA
  • NPI 1265429310
  NPD (past)
• Russell Brian Keating, MD

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1396727863
  NPD (past)
• John Charles Kirby, D.O.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1033155346
  NPD (past)
• Fred G Lau, MD

  • Diagnostic Radiology Physician
  • Norwalk, CA
  • NPI 1881671048
  NPD (past)
• Thomas Hon-Jeh Lee, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1891722997
  NPD (past)
• Darice Liu, M.D.

  • Vascular & Interventional Radiology Physician
  • Orange, CA
  • NPI 1336223262

  Diagnostic Radiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1184925141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515527",
            "telephone_number": "888-685-3909",
            "fax_number": "800-508-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHANNING AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012801",
            "telephone_number": "650-323-1343",
            "fax_number": "650-323-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONMED IMAGING A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-809-4829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ66173Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ65588Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67347Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67572Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69392Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67346Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69391Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR1583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ68489Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69174Y",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65588Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Simmons, LMFT
• Tracy Simon Cook, LCSW
• Candice Yu Simon, MFTI
• Carson Bradley Simon, DPM
• Pamela Jean Simon, NP
• Laura E Simons, PHD
• Simply Reliable Corp (Amada Senior Care Palo Alto, CA)
• Shira R Simpson, MMS, PA-C
• Demitrous Rajshawn Sims, BA
• Gerald Mark Sinclair, M.D.

• Diagnostic Radiology Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.