Individual provider Active NPI

Julie Park Sim, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
National Provider Identifier
1447293733
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A80266 Issued in CA
Practice address
3275 Skypark Dr
Ste 4
Torrance, CA 90505-5027
Phone
(310) 517-4709
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A80266 CA Primary

Addresses

Primary practice location

3275 Skypark Dr
Ste 4
Torrance, CA 90505-5027

Mailing address

3275 Skypark Dr
Ste 4
Torrance, CA 90505-5027
Phone (310) 517-4709

Other identifiers 1

IdentifierTypeStateIssuer
00A802660MedicaidCA

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
I20060324000457 CA Practitioner - Diagnostic Radiology 8426066937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Radiology Medical GroupGroup PAC ID 5496764755, 19 clinicians
Torrance Memorial Medical CenterGroup PAC ID 9638087703, 52 clinicians

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4675

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80266CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center Diagnostic Radiology CurrentSince Jun 30, 2007 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jun 30, 2007 Accepting new patients
Torrance Radiology Medical Group Diagnostic Radiology CurrentSince Jul 16, 2014 Accepting new patients
Torrance Health Association Inc CurrentSince Mar 1, 2024 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 180
El Segundo, CA 90245
Phone (310) 517-1126

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

3275 Skypark Dr
Ste 4
Torrance, CA 90505
Phone (310) 517-4709

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1447293733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 SKYPARK DR",
            "address_2": "STE 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055027",
            "telephone_number": "310-517-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 SKYPARK DR",
            "address_2": "STE 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055027",
            "telephone_number": "310-517-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "JULIE",
        "middle_name": "PARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A80266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A802660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.