DR. TYRELL JONATHAN SIMKINS D.O. PH.D. NPI 1013301340

NPI Information

NPI: 1013301340
Provider Name: DR. TYRELL JONATHAN SIMKINS, D.O., PH.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: REGENTS OF THE UNIV OF CA

PECOS Registration: Yes

Address:
3160 FOLSOM BLVD STE 2100
SACRAMENTO, CA
ZIP 95816
Phone: (916) 734-3588
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DR. Tyrell Jonathan Simkins, D.O., PH.D. is a neurology psychiatry neurology in Sacramento, CA with 9 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Tyrell Jonathan Simkins, D.O., PH.D. NPI is 1013301340. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2015

The provider's business location address is:

3160 FOLSOM BLVD STE 2100
SACRAMENTO, CA
ZIP 95816-266
Phone: (916) 734-3588

The NPI 1013301340 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	20A15185	CALIFORNIA	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	DO192558	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO192558	OTHER	OREGON	OREGON MEDICAL LICENSE
2	20A15185	OTHER	CALIFORNIA	CALIFORNIA MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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