Simidi, Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

SIMIDI, INC

Practice address

12541 Jolette Ave
Granada Hills, CA 91344-1661

Phone

(818) 807-0530

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Khrist Kakosimidi

Title

Ceo

Phone

(818) 807-0530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1740912849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 JOLETTE AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441661",
            "telephone_number": "818-807-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 JOLETTE AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441661",
            "telephone_number": "818-807-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMIDI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "KAKOSIMIDI",
        "authorized_official_first_name": "KHRIST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-807-0530"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.