Active NPI
Wilbur Caldwell Sims, M.D.
- Diagnostic Radiology Physician
- Rancho Cucamonga, CA
National Provider Identifier
1346228616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G14151
- Practice address
- 8599 Haven Ave.
Suite 300
Rancho Cucamonga, CA 91730-4849 - Phone
- (909) 620-8180
- Fax
- (909) 919-7288
- NPI assigned
- Jan 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G14151 | CA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | G14151 | CA |
Addresses
Primary practice location
8599 Haven Ave.
Suite 300
Rancho Cucamonga, CA 91730-4849
Mailing address
8599 Haven Ave.
Suite 300
Rancho Cucamonga, CA 91730-4849
Phone (909) 620-8180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G141510 | Medicaid | CA | |
| CG1263 | Other | CA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc. | Past | Accepting new patients | |
| Renaissance Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| United Family Care | Past | Accepting new patients |
Organizations & group practices 3
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
- San Bernardino, CA
- NPI 1447292248
-
- Diagnostic Radiology Physician
- Rancho Cucamonga, CA
- NPI 1134200983
-
- Internal Medicine Physician
- Fontana, CA
- NPI 1629027255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1346228616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8599 HAVEN AVE.",
"address_2": "SUITE 300",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304849",
"telephone_number": "909-620-8180",
"fax_number": "909-919-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8599 HAVEN AVE.",
"address_2": "SUITE 300",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304849",
"telephone_number": "909-620-8180",
"fax_number": "909-919-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "WILBUR",
"middle_name": "CALDWELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G14151",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G14151",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G141510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG1263",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
- Kaylah Simmons
- Simple Solutions Family Therapy (Simple Solutions Psychotherapy)
- Simply Secure Home Health Services, Inc.
- Latesha Nicole Simpson
- Shaneka S Simpson
- Sindy Tadros Medical PC (Active Physical Medicine)
- Ravinder Singh, M.D.
- Malwinder S Singha, MD
- Katelyn Elizabeth Sinn, LCSW
- Gabriel Siordia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.