Active NPI
Terry Lidvin Simpson, MD., FACS
- Surgery Physician
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G152805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148256 | Other | AZ | HEALTHCHOICE |
| 148256 | Medicaid | AZ | |
| 0033504 | Other | AZ | HEALTHNET |
| 5077480 | Other | AZ | AETNA |
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
- General Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 2271 |
| Removal of skin lesions | 1135 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 44 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G152805 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Izuchukwu Okpara MD Inc | Surgery | Current | 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.
-
- Surgery Physician
- Valencia, CA
- NPI 1679004592
-
- Surgery Physician
- Camarillo, CA
- NPI 1841492543
-
- Surgery Physician
- El Segundo, CA
- NPI 1083883938
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.