Individual provider Active NPI

Donald Rex Simpson, M.D., PH.D.

  • Specialist
  • Northridge, CA
National Provider Identifier
1699053397
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G44436 Issued in CA
Practice address
17425 Parthenia St
Northridge, CA 91325-3240
Phone
(818) 298-1442
Fax
(818) 775-1176
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G44436 CA Primary
Cytopathology Physician 207ZC0500X G44436 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G44436 CA

Addresses

Primary practice location

17425 Parthenia St
Northridge, CA 91325-3240

Mailing address

17425 Parthenia St
Northridge, CA 91325-3240
Phone (818) 298-1442

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721002517 CA Practitioner - Pathology 9931325370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
G44436CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Path MD Inc CurrentSince May 4, 2014 Accepting new patients

Locations

931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745

8158 Beverly Blvd
Los Angeles, CA 90048
Phone (310) 489-5615

Organizations & group practices 1

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1699053397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253240",
            "telephone_number": "818-298-1442",
            "fax_number": "818-775-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253240",
            "telephone_number": "818-298-1442",
            "fax_number": "818-775-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DONALD",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44436",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G44436",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G44436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.