DR. FRED JOSEPH SIMON JR. (NPI# 1568525566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525566 |
| Entity Type | Individual |
| Full Name | DR. FRED JOSEPH SIMON JR. |
| Credential | MD |
| Practice Address |
9888 Genesee Ave La Jolla CA 92037-1205 |
| Practice Telephone | 6199901344 |
| Practice Fax Number | 8586266354 |
| Mailing Telephone | 6199901344 |
| Mailing Fax Number | 8586266354 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C42394 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700212412 | Fred Simon | Ophthalmology | 1564 Steamboat Ct, Evergreen, CO 80439-9561 | 2013-09-25 |
| 1023216694 | Fred Simon | Family Medicine | 62917 Peach Rd, Montrose, CO 81401-9124 | 2007-07-05 |
| 1437145919 | Fred L Simon | Surgery | 4665 S Congress Ave, Suite 100, Lake Worth, FL 33461-4754 | 2005-09-21 |
| 1407840952 | Fred A Simon Jr. | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-09 |
| Street Address |
9888 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886207 | Gregory Daniel Medley | Pharmacist | 9888 Genesee Ave, Lj-18, La Jolla, CA 92037-1276 | 2005-07-26 |
| 1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
| 1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| 1629690946 | Lillian H Pak | Registered Nurse | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-05-08 |
| 1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
| 1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
| 1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1407408040 | Nicole Hamilton Goldhaber | Surgery | 9300 Campus Point Dr # 7220, La Jolla, CA 92037-1300 | 2019-07-14 |
| 1528353190 | Matthew D Cooper | Surgery | 9850 Genesee Ave Ste 570, La Jolla, CA 92037-1229 | 2011-06-12 |
| 1487983672 | Seymour J. Filman | Surgery | 2055 Caminito San Nicholas, La Jolla, CA 92037-7004 | 2009-12-17 |
| 1851532121 | Michael L. Gerber | Surgery | 1535 El Paso Real, La Jolla, CA 92037-6303 | 2009-03-17 |
| 1124272430 | Kaitlyn J Kelly | Surgery | Moores Cancer Center Ucsd, 3855 Health Sciences Drive, Mail Code 0987, La Jolla, CA 92093-0001 | 2008-11-13 |
| 1528135423 | Marshall I. Ravden | Surgery | 6335 Via Maria, La Jolla, CA 92037-6543 | 2006-11-29 |
| 1407957509 | Frank Kennedy | Surgery | 2435 Ridgegate Row, La Jolla, CA 92037-0919 | 2006-09-25 |
| 1093811176 | Ayemoethu Ma | Surgery | 10666 N Torrey Pines Rd # Ms 213, La Jolla, CA 92037-1092 | 2006-09-15 |
| 1760440101 | John Kellogg Parsons | Surgery | 3855 Health Sciences Drive #0987, Moores Ucsd Comprehensive Cancer Center, La Jolla, CA 92093-0987 | 2006-05-03 |
| Find all providers in LA JOLLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.