Individual provider Active NPI

Patricia De Freitas Simplicio Ananias

  • Family Medicine Physician
  • Cottonwood, CA
National Provider Identifier
1780319327
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A202257 Issued in CA
Practice address
20833 Long Branch Dr
Cottonwood, CA 96022-8701
Phone
(530) 347-3418
NPI assigned
Jul 18, 2022
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT227340 PA
Family Medicine Physician 207Q00000X A202257 CA Primary

Addresses

Primary practice location

20833 Long Branch Dr
Cottonwood, CA 96022-8701

Mailing address

20833 Long Branch Dr
Cottonwood, CA 96022-8701

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
I20250708001954 CA Order and Referring Only - Family PracticePractitioner - Family Practice 7315451846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A202257CAMDFamily Medicine Physician
MT227340PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patricia.de.freitas.simplicio.ananias.1@10692.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1780319327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 LONG BRANCH DR",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960228701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20833 LONG BRANCH DR",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960228701",
            "telephone_number": "530-347-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FREITAS SIMPLICIO ANANIAS",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT227340",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A202257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, CA

Sources for this page

Verify at the official NPI Registry.