Individual provider Active NPI

James Willis Simmons II, NP

  • Family Nurse Practitioner
  • Redwood City, CA
National Provider Identifier
1366744492
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP19879 Issued in CA
Practice address
830 Jefferson Ave
Redwood City, CA 94063-1804
Phone
(650) 380-0616
NPI assigned
Nov 22, 2010
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP19879 CA Primary

Addresses

Primary practice location

830 Jefferson Ave
Redwood City, CA 94063-1804

Mailing address

4405 Wincanton Rd
Salida, CA 95368-9715
Phone (209) 482-6840

Other practice location 1

103 Modesto Ave
Modesto, CA 95354-0414
Phone (209) 527-4597

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000168 CA Practitioner - Nurse Practitioner 6002093341 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merced Intensivist Group IncGroup PAC ID 9032535802, 9 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5000

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19879CAMDSpeech-Language Pathologist
NP19879CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC CurrentSince Nov 1, 2022 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. CurrentSince Aug 21, 2018 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince Aug 21, 2018 Accepting new patients
Erx Hospitalist Group PC CurrentSince May 2, 2023 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Current Accepting new patients
Merced Intensivist Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Vituity Hospitalists PC CurrentSince Nov 1, 2022 Accepting new patients
UCSF Health Medical Foundation CurrentSince Dec 31, 2025 Accepting new patients
Solano Gateway Medical Group Inc Nurse Practitioner CurrentSince Oct 1, 2020 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Oct 2, 2025 Accepting new patients
Ripon Primary & Urgent Care Center Family Past Accepting new patients
Ripon Primary & Urgent Care Center a Medical Corporation Past Accepting new patients

Locations (25 of 28)

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

325 Gellert Blvd
Daly City, CA 94015
Phone (650) 270-2394

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

830 Jefferson Ave
Redwood City, CA 94063
Phone (650) 380-0616

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Interoperability endpoints

  • Direct secure messaging: james.simmons.p1@direct.cmcentersinc.nextgenshare.com

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

View all 14

Hospital & facility affiliations 6

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1366744492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 WINCANTON RD",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689715",
            "telephone_number": "209-482-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631804",
            "telephone_number": "650-380-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Modesto Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953540414",
            "country_code": "US",
            "telephone_number": "209-527-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JAMES",
        "middle_name": "WILLIS",
        "name_suffix": "II",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.