Active NPI
Jessica Simons
- Customized Equipment (DME)
- Placerville, CA
National Provider Identifier
1255289252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- B20260121306
- Practice address
- 2961 Dyer Way
Placerville, CA 95667-9027 - Phone
- (530) 303-8729
- NPI assigned
- Mar 17, 2026
- 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 |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | B20260121306 | CA | Primary |
Addresses
Primary practice location
2961 Dyer Way
Placerville, CA 95667-9027
Mailing address
2961 Dyer Way
Placerville, CA 95667-9027
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 |
|---|---|---|---|
| B20260121306 | CA | MD | Customized Equipment (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1255289252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 DYER WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 DYER WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679027",
"telephone_number": "530-303-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "B20260121306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
- Sierra Foothill Family Medical Associates
- Sierra Hills Women'S Center and Advanced Gynecology
- Sierra Immediate Care Medical Center
- Sierra Orthopaedic & Athletic Rehabilitation Physical Therapyinc
- Monica A Silva, MFT
- Sharon E Simonson
- Demetrios Nicholas Simopoulos, MD
- Nicholas Demetrios Simopoulos, MD
- Susan E Simpkin, PSYD
- Jason Sims, BA, MSW, ACSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.