Active NPI
Anthony Paul Simmons
- Peer Specialist
- Riverside, CA
National Provider Identifier
1306653407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-GXNDIZ
- Practice address
- 9890 County Farm Rd Ste 3
Riverside, CA 92503-3678 - Phone
- (951) 509-8320
- NPI assigned
- Dec 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-GXNDIZ | CA | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
9890 County Farm Rd Ste 3
Riverside, CA 92503-3678
Mailing address
9890 County Farm Rd Ste 3
Riverside, CA 92503-3678
Phone (951) 509-8320
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 |
|---|---|---|---|
| MPSS-GXNDIZ | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| County of Riverside | Past | Accepting new patients |
Locations
9890 County Farm Rd
Ste 3
Riverside, CA 92503
Phone (951) 509-2499
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.
-
- Psychiatric Residential Treatment Facility
- Riverside, CA
- NPI 1922531839
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1598195562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1306653407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9890 COUNTY FARM RD STE 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033678",
"telephone_number": "951-509-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9890 COUNTY FARM RD STE 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033678",
"telephone_number": "951-509-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ANTHONY",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-12",
"last_updated": "2025-04-28",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-GXNDIZ",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.