Organization Active NPI

Sim C. Hoffman, MD, Inc., a Professional Corporation

  • Radiology Clinic/Center
  • Buena Park, CA
National Provider Identifier
1306167804
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
G43636 Issued in CA
Legal business name
SIM C. HOFFMAN, MD, INC., A PROFESSIONAL CORPORATION
Practice address
6800 Lincoln Ave Ste 100
Buena Park, CA 90620-4163
Phone
(714) 995-5400
Fax
(714) 995-5254
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Dr. Sim C Hoffman, M.D.
Title
President
Phone
(714) 995-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X G43636 CA Primary

Addresses

Primary practice location

6800 Lincoln Ave Ste 100
Buena Park, CA 90620-4163

Mailing address

6800 Lincoln Ave Ste 100
Buena Park, CA 90620-4163
Phone (714) 995-5400

Other identifiers 1

IdentifierTypeStateIssuer
TP017OtherCAMEDICARE IDTF NUMBER

National Provider Directory

National Provider Directory

Locations

6800 Lincoln Ave
Ste 100
Buena Park, CA 90620
Phone (714) 495-4392

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1306167804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LINCOLN AVE STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204163",
            "telephone_number": "714-995-5400",
            "fax_number": "714-995-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 LINCOLN AVE STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204163",
            "telephone_number": "714-995-5400",
            "fax_number": "714-995-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIM C. HOFFMAN, MD, INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SIM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-995-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G43636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDTF NUMBER",
            "identifier": "TP017",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.