Stephen Sims MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G69269 Issued in CA

Legal business name

STEPHEN SIMS MD

Practice address

877 W Fremont Ave
Suite B2
Sunnyvale, CA 94087-2315

Phone

(408) 736-0677

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Justin Sims, M.D.NPI 1568453264

Title

Owner

Phone

(408) 736-0677

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Justin Sims, MD

  • Family Medicine Physician
  • Mountain View, CA
  • NPI 1568453264
  NPD (past) Authorized official

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1386080240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "SUITE B2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-736-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "SUITE B2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-736-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN SIMS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G69269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6283233",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PHYSICIAN ID",
            "identifier": "00G692690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.