Jerald I Simon, M.D., Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C25358 Issued in CA

Legal business name

JERALD I SIMON, M.D., INC

Practice address

24050 Madison St
Suite 217
Torrance, CA 90505-6015

Phone

(310) 375-8501

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerald Ira Simon, M.D.

Title

Practicioner

Phone

(310) 375-8501

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jan Feingold Simon, LCSW

  • Clinical Social Worker
  • Rancho Palos Verdes, CA
  • NPI 1770810475
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1477719037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4272 STALWART DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756025",
            "telephone_number": "310-541-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "SUITE 217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-375-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD I SIMON, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRACTICIONER",
        "authorized_official_telephone_number": "310-375-8501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C25358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Jensen
• Julia Jensen, MFT
• Corey Jentry
• Hayden Jeon
• Hee Jae Jeon, CHRISTINE
• Maki S Jerden, APRN
• Aalijah Jerry
• Jesica Linares
• Jessica Sanchez Licensed Clinical Social Worker a Professional Corporation
• Jamie Jeter

• Psychiatry Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.