Active NPI
Simone Valente Kaufman, NP
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 21706
- Practice address
- 12 Bayberry Way
Irvine, CA 92612-2727 - Phone
- (562) 357-2063
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21706 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 21706 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 21706 | CA | Primary |
Addresses
Primary practice location
12 Bayberry Way
Irvine, CA 92612-2727
Mailing address
12 Bayberry Way
Irvine, CA 92612-2727
Phone (562) 357-2063
Other practice location 1
1521 S Harbor Blvd
Fullerton, CA 92832-3402
Phone (562) 357-2063
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21706 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Molina Healthcare of California | Current | Accepting new patients | |
| Agewell Advanced Nursing Practice | Psychiatric/Mental Health | Current | Accepting new patients |
| Newport Beach Surgical and Medical Group Inc | Current | Accepting new patients | |
| Grow Healthcare Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
180 Newport Center Dr
Ste 150
Newport Beach, CA 92660
Phone (949) 200-1600
180 Newport Center Dr
Ste 158
Newport Beach, CA 92660
Phone (949) 209-1622
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- simone.kaufmanpmhnp.p1@direct.sms.nextgenshare.com
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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Psychiatric/Mental Health
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Otolaryngology Physician
- Newport Beach, CA
- NPI 1477953511
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1518739457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1477829612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BAYBERRY WAY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122727",
"telephone_number": "562-357-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BAYBERRY WAY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122727",
"telephone_number": "562-357-2063"
}
],
"practiceLocations": [
{
"address_1": "1521 S Harbor Blvd",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928323402",
"country_code": "US",
"telephone_number": "562-357-2063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "SIMONE",
"middle_name": "VALENTE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "21706",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "21706",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "21706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.