Active NPI
Silvio Simunovic, RDA
- Dental Assistant
- San Francisco, CA
National Provider Identifier
1346843158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 90325
- Practice address
- 1471 20TH Ave Apt 4
San Francisco, CA 94122-3448 - Phone
- (415) 825-2329
- NPI assigned
- Nov 16, 2020
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | K7L7R5Z9 | CA | |
| Dental Assistant | 126800000X | 90325 | CA | Primary |
Addresses
Primary practice location
1471 20TH Ave Apt 4
San Francisco, CA 94122-3448
Mailing address
1471 20TH Ave Apt 4
San Francisco, CA 94122-3448
Phone (415) 825-2329
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 |
|---|---|---|---|
| K7L7R5Z9 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1346843158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 20TH AVE APT 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223448",
"telephone_number": "415-825-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 20TH AVE APT 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223448",
"telephone_number": "415-825-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMUNOVIC",
"first_name": "SILVIO",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "K7L7R5Z9",
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "90325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.