James Stephen Simon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G16981 Issued in CA

Practice address

451 Airport Rd
Ste B.
Novato, CA 94945-1419

Phone

(415) 899-9727

Fax

(415) 435-9933

NPI assigned

Nov 18, 2008

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1770738882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949200726",
            "telephone_number": "415-435-1012",
            "fax_number": "415-435-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 AIRPORT RD",
            "address_2": "STE B.",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451419",
            "telephone_number": "415-899-9727",
            "fax_number": "415-435-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G16981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Beth Silverblatt
• Charles I. Silverstein, PH.D.
• Jason Simionato
• Caitlin Marie Simmons, B.S.
• Ira R Simon, DDS
• Briana Sinatra, ND
• Pradeep Singh, M.D.
• Matt Siu, O.D.
• Jay Glenn Skelton
• Elizabeth Skirbe

• Family Medicine Physician in Novato, CA
• Providers in Novato, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.