Active NPI
Emma M. Simmons, MD
- Family Medicine Physician
- Moreno Valley, CA
National Provider Identifier
1477537041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G88995
- Practice address
- 26520 Cactus Ave.
Department of Family Medicine
Moreno Valley, CA 92555-3927 - Phone
- (951) 486-4000
- Fax
- (951) 486-5595
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G88995 | CA | Primary |
Addresses
Primary practice location
26520 Cactus Ave.
Department of Family Medicine
Moreno Valley, CA 92555-3927
Mailing address
900 University Ave
Riverside, CA 92521-9800
Phone (951) 486-5573
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005583 | Medicaid | RI | |
| 007061099 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88995 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1477537041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925219800",
"telephone_number": "951-486-5573",
"fax_number": "951-486-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26520 CACTUS AVE.",
"address_2": "DEPARTMENT OF FAMILY MEDICINE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553927",
"telephone_number": "951-486-4000",
"fax_number": "951-486-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "EMMA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G88995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005583",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "007061099",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.