Active NPI
Benjamin Simon, M.D.
- Cardiovascular Disease Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C41270
- Practice address
- 18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2804 - Phone
- (818) 345-5580
- Fax
- (818) 774-0458
- NPI assigned
- Dec 28, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C41270 | CA | Primary |
Addresses
Primary practice location
18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2804
Mailing address
18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2804
Phone (818) 345-5580
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
- Interventional Cardiology
- Education
- Ohio State University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Glendale, CA 91202
Laguna Niguel, CA 92677
15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 496-4777
18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800
18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2830
Phone (818) 345-5580
Hospital & facility affiliations
- Providence Cedars Sinai Tarzana Medical Center
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41270 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| West Hills Hospital | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
18370 Burbank Blvd
Ste 707
Tarzana, CA 91356
Phone (818) 345-5580
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bsimon389998@oc.providencedirect.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1023065729
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1679550909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "SUITE 707",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-345-5580",
"fax_number": "818-774-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "SUITE 707",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-345-5580",
"fax_number": "818-774-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C41270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.