Organization Active NPI

George V Simon, MD

  • Ophthalmologic Surgery Clinic/Center
  • Concord, CA
National Provider Identifier
1285972299
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
G23786 Issued in CA
Legal business name
GEORGE V SIMON, MD
Practice address
1390 Willow Pass Rd
Suite 120
Concord, CA 94520-5200
Phone
(925) 688-0400
Fax
(925) 688-0403
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
George Victor Simon, MD
Title
President
Phone
(925) 688-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X G23786 CA Primary

Addresses

Primary practice location

1390 Willow Pass Rd
Suite 120
Concord, CA 94520-5200

Mailing address

1390 Willow Pass Rd
Suite 120
Concord, CA 94520-5200
Phone (925) 688-0400

National Provider Directory

National Provider Directory

Locations

1390 Willow Pass Rd
Ste 120
Concord, CA 94520
Phone (925) 688-0400

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1285972299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 WILLOW PASS RD",
            "address_2": "SUITE 120",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205200",
            "telephone_number": "925-688-0400",
            "fax_number": "925-688-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 WILLOW PASS RD",
            "address_2": "SUITE 120",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205200",
            "telephone_number": "925-688-0400",
            "fax_number": "925-688-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE V SIMON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-688-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G23786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.