KEVIN SIMON (NPI# 1609145986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609145986 |
| Entity Type | Individual |
| Full Name | KEVIN SIMON |
| Other Name | KEVIN GIBBS |
| Practice Address |
2055 Lincoln Ave Pasadena CA 91103-1324 |
| Practice Telephone | 6267986793 |
| Mailing Telephone | 6267986793 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031631 | Kevin Mauclair Simon | Psychiatry & Neurology | 300 Longwood Ave Fl 1, Boston, MA 02115-5724 | 2015-04-23 |
| 1659697340 | Kevin Simon | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2010-04-20 |
| Street Address |
2055 LINCOLN AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363562 | Nazifah Khairullah | Pediatrics | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2005-08-17 |
| 1184249948 | Deborah A Noble | Registered Nurse | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2020-06-08 |
| 1700393089 | Graciela Medrano | Licensed Vocational Nurse | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2018-01-08 |
| 1548643521 | Hong-yuan Hsin | Dentist | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2015-07-08 |
| 1366856098 | Community Health Alliance of Pasadena | Clinic/Center | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2014-06-20 |
| 1083993067 | Simona Somerville | Student in an Organized Health Care Education/Training Program | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-09 |
| 1275811564 | Colleen S Voronel | Student in an Organized Health Care Education/Training Program | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-03 |
| 1154609469 | Jessica Tapia | Counselor | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-08-03 |
| 1497046981 | Vessela Papazova | Counselor | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-05-02 |
| 1770881450 | Shylo Ann Manzanares | Rehabilitation Practitioner | 2055 Lincoln Ave, Pasadena, CA 91103-1324 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
| Find all providers in PASADENA | ||||
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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.