NICOLAS SIMO


Address: 742 Bonnie Claire Dr, Walnut, CA 91789-4185
Phone: 9095540335

NICOLAS SIMO (NPI# 1326532417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326532417
Entity Type Individual
Full Name NICOLAS SIMO
Credential ATC
Practice Address 742 Bonnie Claire Dr
Walnut
CA 91789-4185
Practice Telephone 9095540335
Mailing Telephone 9095540335
Enumeration Date 2018-06-21
Last Update Date 2018-06-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
2081S0010X CA Allopathic & Osteopathic Physicians

Office Location

Street Address 742 BONNIE CLAIRE DR
City WALNUT
State CA
Zip Code 91789-4185

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1649799206 Jacquelyn Lising Dietitian, Registered 911 Summitview Ct, Walnut, CA 91789 2017-09-14
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

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1932734969 Jasmine Angelina Velasquez Physical Medicine & Rehabilitation 12017 Herbert St, Los Angeles, CA 90066-5201 2020-03-10
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1841831864 Olivia Carmen Smith Physical Medicine & Rehabilitation 2439 Country Club Dr, Glendora, CA 91741-4009 2019-10-01
1538719521 Kyle Watry Physical Medicine & Rehabilitation 550 15th St Ste 36a, San Francisco, CA 94103-5032 2019-09-12
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Competitor

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City WALNUT
Zip Code 91789

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Dataset Information

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.

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