Active NPI
Alfred A Simental Jr., M.D.
- Otolaryngology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A60980
- Practice address
- 11370 Anderson St
Suite 2100
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2822
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A60980 | CA | Primary |
Addresses
Primary practice location
11370 Anderson St
Suite 2100
Loma Linda, CA 92354-3450
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A609800 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loma Linda University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
259 Terracina Blvd
Redlands, CA 92373-4847
Phone (909) 793-2634
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000
28078 Baxter Rd
Murrieta, CA 92563-1402
Phone (909) 558-4000
3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224
4646 Brockton Ave
Suite 103
Riverside, CA 92506-0103
Phone (909) 558-3111
8599 Haven Ave
Suite 102And210
Rancho Cucamonga, CA 91730-4849
Phone (909) 558-2806
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
- Eisenhower Medical Center
- Loma Linda University Medical Center-Murrieta
- Riverside Community Hospital
- San Antonio Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60980 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Otolaryngology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Otolaryngology | Current | Accepting new patients |
| Redlands Community Hospital | Past | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Ste 520
Murrieta, CA 92563
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
259 Terracina Blvd
Redlands, CA 92373
Phone (909) 328-5400
1895 Orange Tree Ln
Ste 102
Redlands, CA 92374
Phone (909) 558-2600
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
4646 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (909) 558-2824
250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990
1003 E Brier Dr
San Bernardino, CA 92408
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- asimental22517@epiclp.direct-ci.com
- asimental11197@direct.llu.edu
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1073563748
-
- Neurology Physician
- Loma Linda, CA
- NPI 1386694313
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
-
- Pediatric Cardiology Physician
- Upland, CA
- NPI 1912343104
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
Otolaryngology
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1801270137
Otolaryngology
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1265464077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-558-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"address_2": "SUITE 2100",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMENTAL",
"first_name": "ALFRED",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A60980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A609800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.