Simon R. Valencia MD, Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A29972 Issued in CA

Legal business name

SIMON R. VALENCIA MD, INC

Practice address

1234 N Vermont Ave
Los Angeles, CA 90029

Phone

(323) 660-5624

Fax

(330) 660-5626

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Simon Rudolfo Valencia, MD

Title

MD

Phone

(323) 660-5624

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396880985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-660-5624",
            "fax_number": "330-660-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-660-5624",
            "fax_number": "330-660-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON R. VALENCIA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "RUDOLFO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-660-5624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A29972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A299720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie R Simms, LNM
• Kimberly Simms
• Richard Gray Simms II
• Ryan Simms
• Antonia Simon Calixtro
• Michael W Simon-Baker, M.D.
• Sara-Monica Simon-Rodriguez
• Amir Deandre Simon, MSW
• Angela Michelle Simon
• Brett Simon

• Endocrinology, Diabetes & Metabolism Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.