Organization Active NPI

Salma Simjee, M.D., Inc

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1619278686
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A39701 Issued in CA
Legal business name
SALMA SIMJEE, M.D., INC
Practice address
1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371
Phone
(559) 435-2010
Fax
(559) 435-2132
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Salma Simjee, M.D.NPI 1497730527
Title
President
Phone
(559) 435-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A39701 CA Primary

Addresses

Primary practice location

1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371

Mailing address

1290 E Spruce Ave Ste 101
Fresno, CA 93720-3371
Phone (559) 435-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000033 CA Part B Supplier - Clinic/Group Practice 8729273297 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1619278686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203371",
            "telephone_number": "559-435-2010",
            "fax_number": "559-435-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203371",
            "telephone_number": "559-435-2010",
            "fax_number": "559-435-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMA SIMJEE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "SIMJEE",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A39701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.