MRS. DELISA SIMON (NPI# 1851800056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851800056 |
| Entity Type | Individual |
| Full Name | MRS. DELISA SIMON |
| Credential | RN, BSN, MSN, NP-C |
| Practice Address |
4439 Stoneridge Dr Ste 110 Pleasanton CA 94588 |
| Mailing Address |
4439 Stoneridge Dr Ste 110 Pleasanton CA 94588-8339 |
| Practice Telephone | 9254612840 |
| Practice Fax Number | 8009409545 |
| Mailing Telephone | 9254612840 |
| Mailing Fax Number | 8009409545 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004200 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4439 STONERIDGE DR STE 110 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032710 | Teresa Truong Nguyen | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588-8339 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| 1518322882 | Sandie Mae Frawley | Psychologist | 1742 Equestrian Drive, Pleasanton, CA 94588 | 2015-12-30 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793506 | Jostlin Denisha Jenkins-key | Nurse Practitioner | 5606 Owens Dr Apt 106, Pleasanton, CA 94588-4677 | 2019-04-23 |
| 1871027276 | Susan Xiaoping Han | Nurse Practitioner | 215 Abbie St, Pleasanton, CA 94566-7343 | 2017-04-12 |
| 1033481957 | Desiree Dawn Quinn | Nurse Practitioner | 5000 Hopyard Rd #100, Team Health, Pleasanton, CA 94588 | 2012-02-08 |
| 1114235934 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 | 2010-09-14 |
| 1972828515 | Stacia Erin Souter | Nurse Practitioner | 7901 Stoneridge Dr Ste 230, Pleasanton, CA 94588-3371 | 2010-04-06 |
| 1760537617 | Shannon Renee Clark | Nurse Practitioner | 3128 Santa Rita Rd, Suite C, Pleasanton, CA 94566-8300 | 2007-01-23 |
| 1710512124 | Mamata Patel | Nurse Practitioner | 5565 W Las Positas Blvd Ste 260, Pleasanton, CA 94588-5807 | 2020-03-05 |
| 1386276632 | Paul Turner | Nurse Practitioner | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2020-02-05 |
| 1114573599 | Emily Kate Schorr | Nurse Practitioner | 220 W Goodwin St Ste A, Pleasanton, TX 78064-4119 | 2019-08-12 |
| 1235601295 | Denise Damanakis | Nurse Practitioner | 3128 Santa Rita Rd, Pleasanton, CA 94566-8300 | 2018-12-31 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on MRS. DELISA SIMON.
| 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.