Individual provider Active NPI

Simone Valente Kaufman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1477829612
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21706 Issued in CA
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

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000736 CA Practitioner - Nurse Practitioner 8527465525 Reassigns benefits to 5 organizations
Practice locations: Irvine, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21706CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Jun 28, 2021 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Dec 1, 2025 Accepting new patients
Agewell Advanced Nursing Practice Psychiatric/Mental Health CurrentSince Oct 29, 2023 Accepting new patients
Newport Beach Surgical and Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jul 19, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.