Fred J Simon, Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C42394 Issued in CA

Legal business name

FRED J SIMON, JR., M.D.

Practice address

9888 Genesee Ave
LJ-601
La Jolla, CA 92037-1205

Phone

(858) 626-6362

Fax

(858) 626-6354

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Fred J. Simon Jr., M.D.NPI 1568525566

Title

Director, Manager

Phone

(858) 626-6362

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Joseph Simon Jr., MD

  • Surgery Physician
  • La Jolla, CA
  • NPI 1568525566
  Authorized official Same address or phone

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1811176837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85466",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921865466",
            "telephone_number": "858-626-6362",
            "fax_number": "858-626-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "address_2": "LJ-601",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-626-6362",
            "fax_number": "858-626-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED J SIMON, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR, MANAGER",
        "authorized_official_telephone_number": "858-626-6362",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C42394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C423940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alexander Frankel, M.D.
• Franklin W. Lusby, M.D. Inc
• Shannon E Franklin, PSYD
• Robert Franks, M.D.
• Carol Frausto
• Frederick J de la Vega, MD
• Kathryn Victoria Frederick Louv, RN, MN, FNP
• Marilyn Sara Freeman, PH.D., MFT
• Marcelo Freire, D.D.S.,PH.D., D.MED.
• Catherine Therese Frenette, M.D.

• Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.