NPIMap

Individual provider Active NPI

Kathryn Dolores Simms, NP

  • Nurse Practitioner
  • Castro Valley, CA
National Provider Identifier
1447770359
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016506 Issued in CA
Practice address
20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332
Phone
(415) 885-3882
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016506 CA Primary

Addresses

Primary practice location

20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332

Mailing address

20055 Lake Chabot Rd Ste 130
Castro Valley, CA 94546-5332
Phone (415) 885-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520000162 CA Practitioner - Nurse Practitioner 7214273382 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 10, 2021 Accepting new patients
Stanford Health Care Current Accepting new patients
UCSF Medical Group Business Services CurrentSince May 10, 2021 Accepting new patients
Stanford Health Care CurrentSince Feb 1, 2024 Accepting new patients
University of California San Francisco CurrentSince May 10, 2021 Accepting new patients
Stanford Health Care CurrentSince Feb 1, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince May 10, 2021 Accepting new patients
University Healthcare Alliance CurrentSince Aug 26, 2022 Accepting new patients
University Healthcare Alliance PastSince Oct 1, 2022 Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20055 Lake Chabot Rd
Ste 130
Castro Valley, CA 94546
Phone (510) 888-0657

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5725 W Las Positas Blvd
Ste 100A
Pleasanton, CA 94588
Phone (833) 444-7622

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5725 W Las Positas Blvd
Ste 100
Pleasanton, CA 94588

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: ksimms583277@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ksimms389881@direct.stanfordhealthcare.org

Organizations & group practices 10

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 9

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1447770359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD STE 130",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465332",
            "telephone_number": "415-885-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD STE 130",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465332",
            "telephone_number": "415-885-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "KATHRYN",
        "middle_name": "DOLORES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.