Active NPI
Homan Siman, MD
- Internal Medicine Physician
- Wilmington, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A83240
- Practice address
- 1231 Avalon Blvd
Wilmington, CA 90744 - Phone
- (310) 835-7215
- Fax
- (310) 835-6520
- NPI assigned
- Oct 4, 2006
- Last updated
- Apr 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A83240 | CA | Primary |
Addresses
Primary practice location
1231 Avalon Blvd
Wilmington, CA 90744
Mailing address
1231 N Avalon Blvd
Wilmington, CA 90744
Phone (310) 835-7215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A832400 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1231 N Avalon Blvd
Wilmington, CA 90744-2601
Phone (310) 835-7215
81800 Doctor Carreon Blvd
Suite a
Indio, CA 92201-5595
Phone (760) 342-4242
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Family Medical Clinic | Current | Accepting new patients | |
| Healing Hand Family Care Clinics Corp | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients |
Locations
81800 Doctor Carreon Blvd
Ste A
Indio, CA 92201
Phone (760) 342-4242
1231 N Avalon Blvd
Wilmington, CA 90744
Phone (310) 835-5000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Wilmington, CA
- NPI 1871645184
-
- Family Medicine Physician
- Wilmington, CA
- NPI 1952705725
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1558456814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 N AVALON BLVD",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "90744",
"telephone_number": "310-835-7215",
"fax_number": "310-835-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 AVALON BLVD",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "90744",
"telephone_number": "310-835-7215",
"fax_number": "310-835-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMAN",
"first_name": "HOMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A83240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A832400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.