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DYLAN SIMMONS
NPI 1053290908
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since August 27, 2025
9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-3331 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Simmons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN SIMMONS (NPI 1053290908) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1053290908
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN SIMMONS
Location Address9055 BALBOA AVESan Diego, CA 92123-1509
Mailing Address9055 Balboa AveSan Diego, CA 92123-1509 · (619) 849-3331
Phone(619) 849-3331
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1053290908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9055 BALBOA AVE, San Diego, CA 92123
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ANN CHAMBERS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
RYLEE HANNAH NELSEN I
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ALICIA JOANNE HENSON PA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
NIDA EJAZ
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ANGELINA JILIS HARGROVE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
MICHAEL F STATZULA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (505) 980-0259
ANNE VANDERWEIDE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (907) 632-1748
KELSEY H CHAN
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (415) 867-0391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Simmons's NPI number?

The NPI number for Dylan Simmons is 1053290908. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Dylan Simmons located?

Dylan Simmons practices at 9055 Balboa Ave, San Diego, CA 92123. The listed phone number is (619) 849-3331.

What is Dylan Simmons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dylan Simmons was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.