Individual provider Active NPI

Beth Lynn Royal Simati, MD

  • Family Medicine Physician
  • Temecula, CA
National Provider Identifier
1417187618
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C156596 Issued in CA
Practice address
43500 Ridge Park Dr
Temecula, CA 92590-3624
Phone
(951) 308-2200
Fax
(760) 763-0671
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60115754 WA
Family Medicine Physician 207Q00000X MD.205031 LA
Family Medicine Physician 207Q00000X 70428 GA
Family Medicine Physician 207Q00000X C156596 CA Primary

Addresses

Primary practice location

43500 Ridge Park Dr
Temecula, CA 92590-3624

Mailing address

PO Box 555191
200 Mercy Circle
Oceanside, CA 92055
Phone (951) 308-2200

Other identifiers 2

IdentifierTypeStateIssuer
02709849MedicaidMS
2169696MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823000865 CA Order and Referring Only - Family PracticePractitioner - Family Practice 2163546946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C156596CAMDFamily Medicine Physician
70428GAMDFamily Medicine Physician
MD.205031LAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: provider.eligibilityonly.p135@direct.tenet.nextgenshare.com
  • Direct secure messaging: beth.simati.p135@direct.tenet.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1417187618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "address_2": "200 MERCY CIRCLE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "951-308-2200",
            "fax_number": "760-763-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43500 RIDGE PARK DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903624",
            "telephone_number": "951-308-2200",
            "fax_number": "760-763-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMATI",
        "first_name": "BETH",
        "middle_name": "LYNN ROYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60115754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "70428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C156596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02709849",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169696",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.