Individual provider Active NPI

Delisa Simon, RN, BSN, MSN, NP-C

  • Family Nurse Practitioner
  • Livermore, CA
National Provider Identifier
1851800056
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004200 Issued in CA
Practice address
87 Fenton St Ste 210
Livermore, CA 94550-4159
Phone
(925) 371-8885
Fax
(925) 371-8884
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004200 CA Primary

Addresses

Primary practice location

87 Fenton St Ste 210
Livermore, CA 94550-4159

Mailing address

87 Fenton St Ste 210
Livermore, CA 94550-4159
Phone (925) 371-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808003845 CA Practitioner - Nurse Practitioner 4981141827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95004200CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Valley Medical Associates, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

87 Fenton St
Ste 210
Livermore, CA 94550
Phone (510) 537-3556

Interoperability endpoints

  • Direct secure messaging: dsimon235524@hpmg.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1851800056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 210",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504159",
            "telephone_number": "925-371-8885",
            "fax_number": "925-371-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 210",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504159",
            "telephone_number": "925-371-8885",
            "fax_number": "925-371-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DELISA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.