Organization Active NPI

Nicholas D. Simopoulos MD Inc

  • Urology Physician
  • Placerville, CA
National Provider Identifier
1790886687
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NICHOLAS D. SIMOPOULOS MD INC
Practice address
1000 Fowler Way Ste 5
Placerville, CA 95667-5738
Phone
(530) 626-1277
Fax
(530) 626-3265
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Nicholas Demetrios Simopoulos, MD
Title
President
Phone
(530) 626-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1000 Fowler Way Ste 5
Placerville, CA 95667-5738

Mailing address

1000 Fowler Way Ste 5
Placerville, CA 95667-5738
Phone (530) 626-1277

Other identifiers 1

IdentifierTypeStateIssuer
DG7616OtherCAMEDICARE RAILROAD GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1000 Fowler Way
Ste 5
Placerville, CA 95667
Phone (530) 626-1277

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1790886687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-626-1277",
            "fax_number": "530-626-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-626-1277",
            "fax_number": "530-626-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS D. SIMOPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SIMOPOULOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DEMETRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-626-1277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP NUMBER",
            "identifier": "DG7616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

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