Active NPI
Nicholas D. Simopoulos MD Inc
- Urology Physician
- Placerville, CA
National Provider Identifier
1790886687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG7616 | Other | CA | MEDICARE RAILROAD GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.