Guillermo Simo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADDTP#1327 Issued in CA

Practice address

45926 Oasis Street
Indio, CA 92201-4610

Phone

(760) 342-1233

Fax

(760) 342-5344

NPI assigned

Jan 10, 2008

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Awareness Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indio, CA
  • NPI 1316206907

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1679759567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45926 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014559",
            "telephone_number": "760-342-1233",
            "fax_number": "760-342-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45926 OASIS STREET",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014610",
            "telephone_number": "760-342-1233",
            "fax_number": "760-342-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMO",
        "first_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CADDTP#1327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Craig Siegel
• Sabrina Linh-Dan Sifter, OD
• Ashley E Silcott
• Aurora Silva, MFT
• Marco Antonio Silva II
• Michael A Simpson
• Larry Singh
• Courtney Rae Lingle Sippel, LCSW
• Naomi Cazares Siqueiros, RADT 1
• Dominique Slawski

• Addiction (Substance Use Disorder) Counselor in Indio, CA
• Providers in Indio, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.