Individual provider Active NPI

Simon K Simonian, MD

  • Legal Medicine
  • Los Angeles, CA
National Provider Identifier
1598771834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
C39045 Issued in CA
Practice address
7080 Hollywood Blvd Ste 919
Los Angeles, CA 90028-6936
Phone
(323) 462-2092
Fax
(323) 462-8862
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X C39045 CA Primary

Addresses

Primary practice location

7080 Hollywood Blvd Ste 919
Los Angeles, CA 90028-6936

Mailing address

7080 Hollywood Blvd Ste 919
Los Angeles, CA 90028-6936
Phone (323) 462-2092

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000576 CA Practitioner - Otolaryngology 3072639814 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 701
Los Angeles, CA 90027-6005
Phone (323) 661-0772

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C39045CAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Dignity Health Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598771834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 919",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286936",
            "telephone_number": "323-462-2092",
            "fax_number": "323-462-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 919",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286936",
            "telephone_number": "323-462-2092",
            "fax_number": "323-462-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIAN",
        "first_name": "SIMON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "C39045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.