Active NPI
Simla Mehta
- Administrator Registered Nurse
- Redondo Beach, CA
National Provider Identifier
1225565344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 198204374
- Practice address
- 2805 Robinson St
Redondo Beach, CA 90278-1748 - Phone
- (310) 483-6965
- NPI assigned
- May 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 198204374 | CA | Primary |
Addresses
Primary practice location
2805 Robinson St
Redondo Beach, CA 90278-1748
Mailing address
718 Avenue D
Redondo Beach, CA 90277-4924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198204374 | CA | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simla Villas, Inc | Current | Accepting new patients | |
| At Home Elder Care, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Assisted Living Facility
- Torrance, CA
- NPI 1093586513
-
- Assisted Living Facility
- Bellflower, CA
- NPI 1679255053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1225565344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 AVENUE D",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 ROBINSON ST",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902781748",
"telephone_number": "310-483-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SIMLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "198204374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
- Medical Nursing Specialties
- Medwest Orthopedics Inc
- Meghan Eaken, Licensed Marriage and Family Therapist, Inc.
- Mehta-Pandya Professional Dental Corp
- Mayur Bharatkumar Mehta, D.D.S.
- Cole Meininger, RN
- David Roy Meldrum, M.D.
- Marcelo Daniel Mele Jr., LMT
- Stephanie Rashell Melgar-Salazar
- Gino Satoshi Melillo, FNP PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.