Organization Active NPI

Emil J Simanian D.D.S., Inc.

  • General Practice Dentistry
  • Newhall, CA
National Provider Identifier
1871013060
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMIL J SIMANIAN D.D.S., INC.
Practice address
23107 Lyons Ave
Newhall, CA 91321-2630
Phone
(661) 254-3516
NPI assigned
Jun 20, 2017
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Matthew Simanian
Title
It Manager
Phone
(661) 254-3516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

23107 Lyons Ave
Newhall, CA 91321-2630

Mailing address

23107 Lyons Ave
Newhall, CA 91321-2630
Phone (661) 254-3516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126001873 CA Part B Supplier - Clinic/Group Practice 4981196888 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Locations

23107 Lyons Ave
Santa Clarita, CA 91321
Phone (661) 254-3516

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1871013060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23107 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212630",
            "telephone_number": "661-254-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23107 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212630",
            "telephone_number": "661-254-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMIL J SIMANIAN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "SIMANIAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "IT MANAGER",
        "authorized_official_telephone_number": "661-254-3516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.