SIMY SURESH ANTONY NP NPI 1316459407

NPI Information

  • NPI: 1316459407
  • Provider Name: SIMY SURESH ANTONY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 435 DOYLE PARK DR
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 527-9510

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NPI Details

Simy Suresh Antony, NP is a family nurse practitioner in Santa Rosa, CA. Simy Suresh Antony, NP NPI is 1316459407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

435 DOYLE PARK DR
SANTA ROSA, CA
ZIP 95405-515
Phone: (707) 527-9510
Fax: (707) 527-1306

The enumeration date for this NPI number is 10/29/2017 and was last updated on 1/9/2019.

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
1363LF0000XNurse PractitionerFamilyNP95007018CALIFORNIAYes

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: 11/21/2025

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