Soheil Simzar, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A97769 Issued in CA

Practice address

2021 Santa Monica Blvd
Suite 600E
Santa Monica, CA 90404-2208

Phone

(310) 828-2282

Fax

(310) 828-8504

NPI assigned

Jul 2, 2007

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA, WA2 enrollments

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 2

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ak Derm CorpGroup PAC ID 3678806882, 3 clinicians

Ava T Shamban MD IncGroup PAC ID 9931136892, 2 clinicians

Advanced Dermatology and Cosmetics Laser Care a Medical CorporationGroup PAC ID 5395659460, 10 clinicians

Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Bita Adib Bagheri MDGroup PAC ID 6204363682, 4 clinicians

Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD
• Direct secure messaging: soheilsimzar@hcpca.allscriptsdirect.net
• Direct secure messaging: ssimzar214323@westdirect.optum.com

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.

• Advanced Dermatology & Cosmetics Laser Care a Medical Corporation

  • Specialist
  • Valencia, CA
  • NPI 1912026097

  Dermatology

  Medicare reassignment Care Compare group NPD
• Ak Derm Corp

  dba skinwell dermatology

  • Dermatology Physician
  • Encino, CA
  • NPI 1013475805
  Medicare reassignment Care Compare group NPD
• Bita Adib Bagheri MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1518685650
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment Care Compare group NPD
• Parham Tabibian MD Inc

  • Dermatology Physician
  • Los Alamitos, CA
  • NPI 1427114032
  Medicare reassignment Care Compare group NPD
• Ava T Shamban MD Inc

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1528246196
  Medicare reassignment Care Compare group
• Confermed of California PC

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1316584709
  Medicare reassignment NPD
• Chelan County Public Hospital District No 2

  dba Lake Chelan Community Hospital

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Medicare reassignment NPD
• Sosha Inc

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1851085229
  NPD Authorized official
• Aelo Medicine PLLC

  • Dermatology Physician
  • Chelan, WA
  • NPI 1235952466
  NPD Authorized official
• Fountain Resources, Inc.

  • Nutritionist
  • Beverly Hills, CA
  • NPI 1104151273
  NPD
• Good Derm, Inc

  dba Good Dermatology

  • Dermatology Physician
  • Torrance, CA
  • NPI 1407474273
  NPD

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1780881797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 600E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-828-2282",
            "fax_number": "310-828-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 600E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-828-2282",
            "fax_number": "310-828-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMZAR",
        "first_name": "SOHEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A97769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W Simons, M.D.
• Jennifer Simpkins, CH.T
• Laura Diane Simpler
• Leroy Sims, M.D., M.SC.
• Sheryl Lahn Sims, LCSW
• Ava Sinaei, DMD
• Erin Sinai
• Shirin Sinai
• Tara Sindler
• Michael Steven Sinel, M.D.

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.