Individual provider Active NPI

Simona Mihaela Myers, M.D.

  • Obstetrics & Gynecology Physician
  • Lancaster, CA
National Provider Identifier
1972570612
Registry record updated Dec 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A87093 Issued in CA
Practice address
1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
Phone
(661) 723-0270
Fax
(661) 949-6948
NPI assigned
Mar 1, 2006
Last updated
Dec 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A87093 CA Primary

Addresses

Primary practice location

1729 W Avenue J Ste 101
Lancaster, CA 93534-2708

Mailing address

1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
Phone (661) 723-0270

Other practice location 1

301 Hospital Dr
OB/GYN Dept. - 3rd Floor
Glen Burnie, MD 21061-5803
Phone (410) 787-4527

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
I20240201001603 CA Practitioner - Obstetrics/Gynecology 7315129715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

43322 Gingham Ave
Lancaster, CA 93535-4576
Phone (661) 579-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87093CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bartz-Altadonna Community Health Center CurrentSince Dec 5, 2023 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Dec 5, 2023 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Samy F Farid MD Facog Mrcog Inc Past Accepting new patients

Locations

43210 Gingham Ave
Lancaster, CA 93535
Phone 6618744050222

43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317

43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone 6618744050222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545523200000",
    "number": "1972570612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 W AVENUE J STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342708",
            "telephone_number": "661-723-0270",
            "fax_number": "661-949-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 W AVENUE J STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342708",
            "telephone_number": "661-723-0270",
            "fax_number": "661-949-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Dr",
            "address_2": "OB/GYN Dept. - 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "410-787-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SIMONA",
        "middle_name": "MIHAELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A87093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.