RUSSELL SIMON NP-C NPI 1659624948

NPI Information

NPI: 1659624948
Provider Name: RUSSELL SIMON, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BORREGO COMMUNITY HEALTH FOUNDATION

PECOS Registration: Yes

Address:
1180 N. INDIAN CANYON DRIVE, SUITE E317
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 346-8058
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Russell Simon, NP-C is a family nurse practitioner in Palm Springs, CA with 13 years of experience. Russell Simon, NP-C NPI is 1659624948. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1180 N. INDIAN CANYON DRIVE, SUITE E317
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 346-8058

The NPI 1659624948 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 10/24/2012 and was last updated on 8/7/2018.

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	363L00000X	Nurse Practitioner		21536	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	21536	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	21536	CALIFORNIA	Yes

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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