Individual provider Active NPI

Maira E Simental, MD

  • Radiation Oncology Physician
  • San Bernardino, CA
National Provider Identifier
1891779997
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A67312 Issued in CA
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

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00296252OtherCARR MEDICARE ST. BERNADINE
00A673120MedicaidCA
A67312OtherCAMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000382 CA Practitioner - Radiation Oncology 1759316334 Reassigns benefits to 1 organization

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
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

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 Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
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

LicenseStateTypeSpecialty
A67312CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Feb 18, 2018 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

  • Direct secure messaging: msimentalmd47152@cityofhope.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.