Active NPI
Rasheed Simjee, DMD
- Periodontics
- Corona, CA
National Provider Identifier
1790899342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 46970
- Practice address
- 1810 Fullerton Ave
#205
Corona, CA 92881-3103 - Phone
- (951) 279-5762
- Fax
- (951) 279-5763
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 46970 | CA | Primary |
Addresses
Primary practice location
1810 Fullerton Ave
#205
Corona, CA 92881-3103
Mailing address
1810 Fullerton Ave
#205
Corona, CA 92881-3103
Phone (951) 279-5762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46970 | CA | MD | Marriage & Family Therapist |
| 46910 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790899342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 FULLERTON AVE",
"address_2": "#205",
"city": "CORONA",
"state": "CA",
"postal_code": "928813103",
"telephone_number": "951-279-5762",
"fax_number": "951-279-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 FULLERTON AVE",
"address_2": "#205",
"city": "CORONA",
"state": "CA",
"postal_code": "928813103",
"telephone_number": "951-279-5762",
"fax_number": "951-279-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMJEE",
"first_name": "RASHEED",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "46970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.