Active NPI
Robert Paul Simmons, L.AC.
- Acupuncturist
- Yucaipa, CA
National Provider Identifier
1629297015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11640
- Practice address
- 34161 Yucaipa Blvd
#Ste E
Yucaipa, CA 92399-6109 - Phone
- (909) 790-4811
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11640 | CA | Primary |
Addresses
Primary practice location
34161 Yucaipa Blvd
#Ste E
Yucaipa, CA 92399-6109
Mailing address
5350 Waldo PL
Eagle Rock, CA 90041-1670
Phone (323) 630-9675
Other names 1
- Mr. Robert Paul Luna
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208563200000",
"number": "1629297015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 WALDO PL",
"city": "EAGLE ROCK",
"state": "CA",
"postal_code": "900411670",
"telephone_number": "323-630-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34161 YUCAIPA BLVD",
"address_2": "#STE E",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923996109",
"telephone_number": "909-790-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2008-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "LUNA",
"middle_name": "PAUL",
"prefix": "MR.",
"credential": "L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.