Active NPI
Cindy B Simkovich
- Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1558409276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 334240
- Practice address
- 193 E Orange Grove Blvd
Pasadena, CA 91103-3487 - Phone
- (626) 568-3302
- Fax
- (626) 568-3419
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 334240 | CA | Primary |
Addresses
Primary practice location
193 E Orange Grove Blvd
Pasadena, CA 91103-3487
Mailing address
193 E Orange Grove Blvd
Pasadena, CA 91103-3487
Phone (626) 568-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334240 | Other | AR | REGISTERED NURSE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334240 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg, a Professional Medical Corp | Past | Accepting new patients |
Interoperability endpoints
- cindy.simkovich@662570498326532.direct.elationemr.com
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.
-
- Pediatrics Physician
- Pasadena, CA
- NPI 1497790349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1558409276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 E ORANGE GROVE BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033487",
"telephone_number": "626-568-3302",
"fax_number": "626-568-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 E ORANGE GROVE BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033487",
"telephone_number": "626-568-3302",
"fax_number": "626-568-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKOVICH",
"first_name": "CINDY",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "334240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "334240",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.