Individual provider Active NPI

Simon Zimnowodzki, M.D.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Los Angeles, CA
National Provider Identifier
1437182292
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
G88053 Issued in CA
Practice address
300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-8346
Phone
(310) 794-1195
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G88053 CA
Neurology Physician 2084N0400X 036066313 IL
Clinical Neurophysiology Physician 2084N0600X G88053 CA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X G88053 CA Primary

Addresses

Primary practice location

300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-8346

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

127 S Vicente Blvd 6th Floor Suite A6600
Cedars-Sinai
Los Angeles, CA 90048
Phone (424) 315-4549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040320000233 IL Practitioner - Neurology 4284525320 Reassigns benefits to 2 organizations
I20160502001966 CA Practitioner - Neurology 4284525320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loyola University of Chicago, Stritch School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1456255959, 96 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500

150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989

200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931

300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

300 Medical PLZ
Los Angeles, CA 90095-0001

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036066313ILMDNeurology Physician
G88053CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County CurrentSince Nov 23, 2010 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jul 8, 2017 Accepting new patients
Cook County CurrentSince Nov 23, 2010 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Neurology CurrentSince Mar 16, 2014 Accepting new patients
The Regents of the University of California Neurology CurrentSince Feb 1, 2021 Accepting new patients
Regents of the University of California Neurology CurrentSince Aug 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 16, 2014 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2021 Accepting new patients
Andino Chiropractic Clinic PC PastSince Mar 12, 2004 Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
Rush University Medical Center Neurology Past Accepting new patients

Locations

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 405-9824

300 UCLA Medical Plz
#B200
Los Angeles, CA 90095

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

1725 W Harrison St
Ste 1106
Chicago, IL 60612
Phone (312) 563-2144

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1900 W Polk St
Rm G16
Chicago, IL 60612

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

Interoperability endpoints

  • Direct secure messaging: szimnowodzki206945@direct.cshs.org

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437182292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UCLA MEDICAL PLZ STE B200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958346",
            "telephone_number": "310-794-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Vicente Blvd 6th Floor Suite A6600",
            "address_2": "Cedars-Sinai",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90048",
            "country_code": "US",
            "telephone_number": "424-315-4549",
            "fax_number": "310-967-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMNOWODZKI",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G88053",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036066313",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G88053",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "G88053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.