| Dr Terry Lidvin Simpson, MD, FACS | |
|
760 Las Posas Rd Ste C, Camarillo, CA 93010-2910 | |
| (805) 620-1000 | |
| (805) 209-2741 |
| Full Name | Dr Terry Lidvin Simpson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 760 Las Posas Rd Ste C, Camarillo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649343146 | NPI | - | NPPES |
| 148256 | Other | AZ | HEALTHCHOICE |
| 148256 | Medicaid | AZ | |
| 0033504 | Other | AZ | HEALTHNET |
| 5077480 | Other | AZ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 21784 (Arizona) | Secondary |
| 208600000X | Surgery | G152805 (California) | Primary |
| Entity Name | Robert Marriott Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
| Entity Name | Izuchukwu Okpara Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679004592 PECOS PAC ID: 1052698966 Enrollment ID: O20170502002135 |
| Entity Name | Affiliated Surgical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841492543 PECOS PAC ID: 9638305956 Enrollment ID: O20210303001125 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Lidvin Simpson, MD, FACS 2392 Foster Ave, Ventura, CA 93001-2416 Ph: (805) 620-1000 | Dr Terry Lidvin Simpson, MD, FACS 760 Las Posas Rd Ste C, Camarillo, CA 93010-2910 Ph: (805) 620-1000 |
Lisa Elaine Brand, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4542 Las Posas Rd Ste D, Camarillo, CA 93010 Phone: 805-322-8490 Fax: 805-586-8066 | |
Colin Mooney, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2486 N Ponderosa Dr Ste D205, Camarillo, CA 93010 Phone: 805-988-7196 Fax: 805-988-7197 | |
Dr. Neal P. Dixon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2438 N Ponderosa Dr, Suite C-207, Camarillo, CA 93010 Phone: 805-484-3513 Fax: 805-484-3961 | |
Daniel Gene Kolder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010 Phone: 805-484-2855 Fax: 805-389-1245 |