Individual provider Active NPI

Terry Lidvin Simpson, MD., FACS

  • Surgery Physician
  • Camarillo, CA
National Provider Identifier
1649343146
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G152805 Issued in CA
Practice address
760 Las Posas Rd Ste C
Camarillo, CA 93010-2910
Phone
(805) 620-1000
Fax
(805) 209-2741
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21784 AZ
Surgery Physician 208600000X G152805 CA Primary

Addresses

Primary practice location

760 Las Posas Rd Ste C
Camarillo, CA 93010-2910

Mailing address

2392 Foster Ave
Ventura, CA 93001-2416
Phone (805) 620-1000

Other identifiers 4

IdentifierTypeStateIssuer
148256OtherAZHEALTHCHOICE
148256MedicaidAZ
0033504OtherAZHEALTHNET
5077480OtherAZAETNA

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
I20200213001074 CA Practitioner - General Surgery 0042121865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians

Practice addresses (Care Compare)

28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue2271
Removal of skin lesions1135
Removal of nail tissue1-10
Removal or shaving of skin growth44
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G152805CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Surgery CurrentSince Feb 10, 2021 Accepting new patients
Izuchukwu Okpara MD Inc Surgery CurrentSince Aug 13, 2024 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1401 New Stine Rd
Bakersfield, CA 93309
Phone (661) 368-5926

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

11926 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 943-7156

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

275 Garnet Way
#B
Upland, CA 91786
Phone (626) 442-1223

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1649343146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 FOSTER AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012416",
            "telephone_number": "805-620-1000",
            "fax_number": "805-209-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LAS POSAS RD STE C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102910",
            "telephone_number": "805-620-1000",
            "fax_number": "805-209-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TERRY",
        "middle_name": "LIDVIN",
        "name_prefix": "Dr.",
        "credential": "MD., FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "21784",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G152805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCHOICE",
            "identifier": "148256",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148256",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0033504",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5077480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.