Scott David Simon MD Facs Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SCOTT DAVID SIMON MD FACS MEDICAL CORPORATION

Practice address

9834 Genesee Ave Ste 416
La Jolla, CA 92037-1264

Phone

(858) 307-6585

Fax

(858) 309-6593

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Scott D Simon, MDNPI 1841237955

Title

President

Phone

(858) 307-6585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott David Simon, M.D.

  • Urology Physician
  • La Jolla, CA
  • NPI 1841237955
  Medicare reassignment Care Compare group NPD Authorized official
• Shilpa Pramod Argade, MD

  • Urology Physician
  • La Jolla, CA
  • NPI 1639664592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1942810726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 416",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371264",
            "telephone_number": "858-307-6585",
            "fax_number": "858-309-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 416",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371264",
            "telephone_number": "858-307-6585",
            "fax_number": "858-309-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT DAVID SIMON MD FACS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-307-6585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Todd Schwartz, PH.D, BCIAC
• Janet Ruth Schwartz, M.D.
• Rachel Lynn Schwartzman, LCSW
• James G. Schwendig, M.D.
• Angela Lynn Scioscia, M.D.
• Scott R Miller MD Facs Apc
• Andrew Walther Scott, PHD, MA
• Heath Clarence Scott, FNP-C
• Robert E Scott Jr., MD
• Vanessa P Scott, M.D.

• Urology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.