Simeon Earl Carson Jr.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1000 S Fremont Ave Unit 7
Alhambra, CA 91803-8897

Phone

(626) 457-4240

Fax

(626) 457-4245

NPI assigned

May 9, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1801644208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE UNIT 7",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038897",
            "telephone_number": "626-457-4240",
            "fax_number": "626-457-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE UNIT 7",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038897",
            "telephone_number": "626-457-4240",
            "fax_number": "626-457-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "SIMEON",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carrasquillo
• Arlene Carrillo
• David Carrillo
• Joyce J Carrillo, M.A., PSYD
• Yelba Maria Carrillo, M.ED.,PSY
• Michelle Leonor Casale
• Genesha Casarez
• Benedict Branden Casillas Jr.
• Karen Casillas
• Maria Cruz Castaneda Avila

• Physician Assistant in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.