Individual provider Active NPI

Simon Trubek, MD

  • Nuclear Medicine Physician
  • Sacramento, CA
National Provider Identifier
1366446890
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
C191570 Issued in CA
Practice address
1625 Stockton Blvd Ste 10
Sacramento, CA 95816-7097
Phone
(916) 887-7862
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X C191570 CA Primary
Diagnostic Radiology Physician 2085R0202X L0663 TX

Addresses

Primary practice location

1625 Stockton Blvd Ste 10
Sacramento, CA 95816-7097

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other identifiers 6

IdentifierTypeStateIssuer
145008207MedicaidTX
145008209OtherTXCSHCN2
P00282632OtherRRMCARE2
P00280508OtherRRMCARE
145008210OtherTXCSHCN1
145008208MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000885 TX Practitioner - Diagnostic Radiology 7719924091 Reassigns benefits to 6 organizations
I20260520004679 CA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 7719924091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

11113 Research Blvd
Austin, TX 78759-5236
Phone (713) 461-3573

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (713) 461-3573

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (713) 461-3573

2008 Milford St
Houston, TX 77098-5310
Phone (480) 306-6949

2241 Douglas Blvd
Suite 110And100
Roseville, CA 95661-4260
Phone (916) 783-8900

2256 W Holcombe Blvd
Simonmed Imaging Med Center
Houston, TX 77030-2008
Phone (346) 335-8512

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 791-0900

250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100

2800 L St
Sacramento, CA 95816-5616

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

800 Hwy 71 E
Smithville, TX 78957-1730
Phone (713) 461-3573

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0663TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ara/St. David'S Imaging, LP CurrentSince Jul 1, 2005 Accepting new patients
Austin Radiological Association CurrentSince Jul 1, 2005 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Sep 27, 2010 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince May 21, 2007 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 21, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Jul 1, 2005 Accepting new patients
Texas Orthopedics, Sports & Rehabilitation Associates, PA Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
Central Texas Oncology Associates, P.a. Past Accepting new patients

Locations (25 of 61)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

99 N La Cienega Blvd
Ste 103
Beverly Hills, CA 90211
Phone (310) 315-0101

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

6185 Paseo del Norte
Ste 110
Carlsbad, CA 92011
Phone (760) 494-0556

21030 Redwood Rd
Ste B
Castro Valley, CA 94546
Phone (510) 856-4800

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

345 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 436-4155

108 Green Valley Rd
#B
Freedom, CA 95019
Phone (831) 476-7711

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

15405 Los Gatos Blvd
Ste 104
Los Gatos, CA 95032
Phone (408) 358-3828

800 Pollard Rd
Ste B101
Los Gatos, CA 95032
Phone (406) 374-8897

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

8901 Activity Rd
Ste 103
San Diego, CA 92126
Phone (619) 354-4070

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

1005 Van Ness Ave
San Francisco, CA 94109
Phone (415) 229-7825

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1366446890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STOCKTON BLVD STE 10",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167097",
            "telephone_number": "916-887-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBEK",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "C191570",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L0663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145008207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "145008209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "P00282632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "P00280508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN1",
            "identifier": "145008210",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145008208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.