Active NPI
Mark E Simons, D.C.
- Chiropractor
- Madera, CA
National Provider Identifier
1285773770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22242
- Practice address
- 501 W Yosemite Ave
Madera, CA 93637-4520 - Phone
- (559) 675-1211
- Fax
- (559) 675-1212
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22242 | CA | Primary |
Addresses
Primary practice location
501 W Yosemite Ave
Madera, CA 93637-4520
Mailing address
2744 W Menlo Ave
Fresno, CA 93711-1198
Phone (559) 438-7336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170807002158 | CA | Practitioner - Chiropractic | 7113298324 | Practice locations: Fresno, CA; Kerman, CA; Madera, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 W Yosemite Ave
Madera, CA 93637-4520
Phone (559) 675-1211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22242 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poladian Chiropractic | Chiropractor | Past | Accepting new patients |
| Poladian Chiropractic Corporation | Chiropractor | Past | 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.
-
- Chiropractor
- Madera, CA
- NPI 1013103092
-
- Chiropractor
- Fresno, CA
- NPI 1275729824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285773770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2744 W MENLO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937111198",
"telephone_number": "559-438-7336",
"fax_number": "559-227-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W YOSEMITE AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936374520",
"telephone_number": "559-675-1211",
"fax_number": "559-675-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.