Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20A12478 | CA |
N | 111NI0900X | Internist | 20A12478 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | 20A12478 | CA |
NPI | 1043519853 |
---|---|
Provider Name | Dr. James Simmons |
First Address | Fresno, CA 93723-7658 |
Second Address | Fresno, CA 93701-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2011 |
Last Update Date | 01/11/2018 |