Kevin Simonson MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KEVIN SIMONSON MD INC

Practice address

3201 Wilshire Blvd Ste 211
Santa Monica, CA 90403-2337

Phone

(323) 283-9998

Fax

(434) 204-5689

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Simonson, MDNPI 1104349190

Title

Psychiatrist

Phone

(949) 230-2291

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Simonson, MD

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1104349190
  NPD Authorized official
• Jennifer Sudarsky, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1023193299
  NPD (past)
• Cynthia Mervis Watson, MD

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1982795530
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1376272344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE STE B",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067080",
            "telephone_number": "949-230-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 211",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032337",
            "telephone_number": "323-283-9998",
            "fax_number": "434-204-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Woodruff Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907067080",
            "country_code": "US",
            "telephone_number": "949-230-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN SIMONSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "949-230-2291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby J Kesden, PSY.D.
• Lennard Joel Kessler, MD
• Leslie Kessler, R.N. PNP
• Heather Kettenis, M.D.
• Ellen Bess Kettler
• Key Luxury Spa, Inc.
• Eric James Kezirian, MD
• Adam Khader, MD, PHD
• Hani Suhail Khadra, MD
• Joshua Khalili, MD

• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.