Dejarra Kamil Sims, N.M.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND-751 Issued in CA

Practice address

10505 Sorrento Valley Rd Ste 225
San Diego, CA 92121-1601

Phone

(619) 345-3111

NPI assigned

May 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Charles K Stermetz PC

  • Health Service Clinic/Center
  • Tempe, AZ
  • NPI 1104025915
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1902031800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BALBOA AVE # 1109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175504",
            "telephone_number": "619-841-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 SORRENTO VALLEY RD STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211601",
            "telephone_number": "619-345-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 E Warner Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843492",
            "country_code": "US",
            "telephone_number": "480-730-7073",
            "fax_number": "480-820-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DEJARRA",
        "middle_name": "KAMIL",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Simpson, COTA
• Michael Von Simpson, ACSW
• William John Simpson, MFT
• Zachary Kyle Simpson, SF IDC
• Cynthia L Sims, LVN
• Elizabeth Ann Sims, RN, PHN
• Hope Sims
• John C Sims, MD
• Katelyn Sims
• Mary Anita Sims

• Naturopath in San Diego, CA
• Providers in San Diego, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.