Active NPI
Peter Sim, M.D.
- Infectious Disease Physician
- Los Angeles, CA
National Provider Identifier
1659309672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A67722
- Practice address
- 1520 San Pablo St
Suite 1000
Los Angeles, CA 90033-5310 - Phone
- (323) 442-5100
- NPI assigned
- Jun 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A67722 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Suite 1000
Los Angeles, CA 90033-5310
Mailing address
PO Box 457
San Dimas, CA 91773-0457
Phone (909) 971-9334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902846306 | Other | CA | GROUP NPI |
| W18762 | Other | CA | GROUP MEDICARE |
| GR0100430 | Other | CA | GROUP MEDICAL |
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
- Infectious Disease
- Education
- Chicago College of Medicine and Surgery, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 W Temple St
Suite 7643
Los Angeles, CA 90026-5421
Phone (213) 388-2229
Hospital & facility affiliations
- L a Downtown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67722 | CA | MD | Infectious Disease Physician |
| 67722 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| Usc Internal Medicine, Inc. | Infectious Disease | Past | Accepting new patients |
| THC - Orange County LLC | Past | Accepting new patients |
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.
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1265656904
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
-
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1356390009
Infectious Disease
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1780183335
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1982351565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1659309672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917730457",
"telephone_number": "909-971-9334",
"fax_number": "909-575-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "SUITE 1000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335310",
"telephone_number": "323-442-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIM",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A67722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1902846306",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "W18762",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAL",
"identifier": "GR0100430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.