Individual provider Active NPI

Michelle Branchaud Simi, M.D.

  • Family Medicine Physician
  • Orinda, CA
National Provider Identifier
1346465630
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A55054 Issued in CA
Practice address
140 Brookwood Rd Ste 200
Orinda, CA 94563-3044
Phone
(925) 254-9080
Fax
(925) 254-4399
NPI assigned
Apr 13, 2007
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A55054 CA Primary

Addresses

Primary practice location

140 Brookwood Rd Ste 200
Orinda, CA 94563-3044

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888

Other names 1

  • Michelle Elaine Branchaud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923002919 CA Order and Referring Only - Family PracticePractitioner - Family Practice 6103068622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A55054CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Levy Past Accepting new patients
Mei PO Kung M.D. Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.simi@269099558764548.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1346465630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2888",
            "fax_number": "925-794-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BROOKWOOD RD STE 200",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633044",
            "telephone_number": "925-254-9080",
            "fax_number": "925-254-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMI",
        "first_name": "MICHELLE",
        "middle_name": "BRANCHAUD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BRANCHAUD",
            "middle_name": "ELAINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.