Active NPI
Maira E Simental, MD
- Radiation Oncology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A67312
- Practice address
- 401 E Highland Ave
San Bernardino, CA 92404-3803 - Phone
- (909) 475-2700
- Fax
- (909) 475-2738
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A67312 | CA | Primary |
Addresses
Primary practice location
401 E Highland Ave
San Bernardino, CA 92404-3803
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00296252 | Other | CA | RR MEDICARE ST. BERNADINE |
| 00A673120 | Medicaid | CA | |
| A67312 | Other | CA | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | CITY OF HOPE MEDICAL FOUNDATION |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Loma Linda University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 W 6TH St
Corona, CA 92882-3349
Phone (951) 898-2828
36450 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7720
Phone (951) 696-0679
401 E Highland Ave
Suite D
San Bernardino, CA 92404-3800
Phone (909) 475-2700
44274 George Cushman CT
Suite 100
Temecula, CA 92592-5903
Phone (951) 252-9300
6939 Palm CT
Riverside, CA 92506-2815
Phone (951) 683-6771
Hospital & facility affiliations
- City of Hope Helford Clinical Research Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67312 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Radiation Oncology | Current | Accepting new patients |
| Empire Oncology PC | Radiation Oncology | Past | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
9229 Wilshire Blvd
Beverly Hills, CA 90210
Phone (310) 205-5777
6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832
401 E Highland Ave
Ste D
San Bernardino, CA 92404
Phone (909) 475-2700
401 E Highland Ave
Sn Bernrdno, CA 92404
Phone (909) 475-2700
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
5529 Reseda Blvd
Tarzana, CA 91356
Phone (818) 774-2860
44274 George Cushman Ct
Ste 110
Temecula, CA 92592
Phone (951) 252-9300
44274 George Cushman Ct
Ste 100
Temecula, CA 92592
Phone (951) 252-9300
3531 Fashion Way
Torrance, CA 90503
Phone (310) 316-2424
36450 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (909) 696-0679
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- msimentalmd47152@cityofhope.direct-ci.com
- direct@cityofhope.direct-ci.com
Organizations & group practices 5
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.
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Radiation Oncology
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- Radiation Oncology Physician
- Temecula, CA
- NPI 1467764092
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1891779997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185",
"telephone_number": "626-775-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924043803",
"telephone_number": "909-475-2700",
"fax_number": "909-475-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMENTAL",
"first_name": "MAIRA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A67312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ST. BERNADINE",
"identifier": "P00296252",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A673120",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A67312",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"address_1": "401 E Highland Ave",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924043803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.