Individual provider Active NPI

Marzieh Simonton

  • Primary Care Nurse Practitioner
  • La Habra, CA
National Provider Identifier
1649717844
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95005809 Issued in CA
Practice address
921 Donnybrook Ave
La Habra, CA 90631
Phone
(714) 623-5552
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95005809 CA Primary

Addresses

Primary practice location

921 Donnybrook Ave
La Habra, CA 90631

Mailing address

921 Donnybrook Ave
La Habra, CA 90631
Phone (714) 623-5552

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170526001815 CA Practitioner - Nurse Practitioner 6901173707 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005809CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Corona Regional Emergency Medical Associates Inc CurrentSince Jan 1, 2025 Accepting new patients
Hilton MD Inc. CurrentSince Mar 13, 2020 Accepting new patients
Apex Emergency Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Huntington Park Emergency Physicians, Inc CurrentSince Jul 1, 2020 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Can Emergency Physicians Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Can Emergency Physicians Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

17822 Beach Blvd
Ste 430
Huntington Beach, CA 92647
Phone (714) 486-2586

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1649717844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DONNYBROOK AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "714-623-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DONNYBROOK AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "714-623-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "MARZIEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95005809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.