Active NPI
Charline Bayon Simmons, M.D.
- Psychiatry Physician
- Oakland, CA
National Provider Identifier
1841278991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C42740
- Practice address
- 6333 Telegraph Ave
200
Oakland, CA 94609-1359 - Phone
- (510) 658-9779
- Fax
- (844) 788-9995
- NPI assigned
- Jan 7, 2006
- Last updated
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C42740 | CA | Primary |
Addresses
Primary practice location
6333 Telegraph Ave
200
Oakland, CA 94609-1359
Mailing address
PO Box 8718
Emeryville, CA 94662-0718
Phone (510) 658-9779
Medicare participation
Medicare enrollment files- 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: Yes
- Opted out of Medicare
- Previously, effective Oct 9, 2012 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42740 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1841278991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8718",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946620718",
"telephone_number": "510-658-9779",
"fax_number": "844-788-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"address_2": "200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-658-9779",
"fax_number": "844-788-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CHARLINE",
"middle_name": "BAYON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-07",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C42740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.