NPIMap

Individual provider Active NPI

Emily Louise Simm, PA-C

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1528458684
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55183 Issued in CA
Practice address
300 Hillmont Ave
Ventura, CA 93003-1651
Phone
(805) 652-6556
NPI assigned
Jan 28, 2015
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55183 CA Primary
Medical Physician Assistant 363AM0700X GU

Addresses

Primary practice location

300 Hillmont Ave
Ventura, CA 93003-1651

Mailing address

2323 Knoll Dr, Ste 219
Vchca - Physician Services
Ventura, CA 93003-7307
Phone (805) 677-5181

Other practice location 1

302 South Route 4
Unit 207
Hagatna, GU 96910
Phone (671) 477-2873

Other names 1

  • Emily Engel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220503000664 WA Practitioner - Physician Assistant 1052686599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2511 M Ave
Anacortes, WA 98221-3897
Phone (360) 299-4211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55183CAMDPharmacist
PA55183CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 17, 2023 Accepting new patients
Expresscare Health and Skin Center Past Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
Expresscare Health and Skin Center Inc. Past Accepting new patients
County of Ventura Past Accepting new patients
Dr Carneiro Wound Medicine Corp PastSince Aug 13, 2023 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1528458684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 KNOLL DR, STE 219",
            "address_2": "VCHCA - PHYSICIAN SERVICES",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037307",
            "telephone_number": "805-677-5181",
            "fax_number": "805-677-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 South Route 4",
            "address_2": "Unit 207",
            "address_purpose": "LOCATION",
            "city": "Hagatna",
            "state": "GU",
            "postal_code": "96910",
            "country_code": "US",
            "telephone_number": "671-477-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMM",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55183",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ENGEL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.