Organization Active NPI

Edward H Sims M D Facs Inc

  • Specialist
  • Lynwood, CA
National Provider Identifier
1689019515
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G255180 Issued in CA
Legal business name
EDWARD H SIMS M D FACS INC
Practice address
3625 Martin Luther King Jr Blvd Ste 9
Lynwood, CA 90262-3509
Phone
(310) 631-9073
Fax
(310) 631-6354
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Edward H Sims, M D
Title
President
Phone
(310) 631-9073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 00G255180 CA Primary

Addresses

Primary practice location

3625 Martin Luther King Jr Blvd Ste 9
Lynwood, CA 90262-3509

Mailing address

3625 Martin Luther King Jr Blvd Ste 9
Lynwood, CA 90262-3509
Phone (310) 631-9073

National Provider Directory

National Provider Directory

Locations

3625 Martin Luther King Jr Blvd
Ste 9
Lynwood, CA 90262
Phone (310) 223-1444

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1689019515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD STE 9",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-631-9073",
            "fax_number": "310-631-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD STE 9",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-631-9073",
            "fax_number": "310-631-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H SIMS M D FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-631-9073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G255180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.