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MR. SIMON JAMES DEVILLY M.A.
NPI 1073678199
Audiologist-Hearing Aid Fitter in Los Angeles, CA

Active since December 27, 2006
333 S BEAUDRY AVE, LOS ANGELES, CA 90017(323) 669-4365 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Simon James Devilly M.a. NPPES

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

MR. SIMON JAMES DEVILLY M.A. (NPI 1073678199) is an individual audiologist-hearing aid fitter provider in Los Angeles, California, licensed in California (AU2040) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073678199
Entity TypeIndividualMale
Primary Taxonomy237600000X
Provider Legal NameMR. SIMON JAMES DEVILLYCredential: M.A.
Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466
Mailing Address333 S Beaudry AveLos Angeles, CA 90017-1466 · (323) 669-4365
Phone(323) 669-4365
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1073678199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
License✔ Licensed in CA · AU2040
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
333 S BEAUDRY AVE, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Simon James Devilly M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Simon Devilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATHY ESTRADA MONTES LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ERIKA SANCHEZ
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ARPI GUBERMAN
Speech-Language Pathologist
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (909) 964-8966
ANA MORAN LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ANA VIRGINIA AGUILAR
Student in an Organized Health Care Education/Training Program
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
DAWN MARIE BRANNON LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SUSANA RABENA BUSTAMANTE LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SANDRA NAYELI MONTELONGO-KHUONG
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (818) 993-9311

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 Simon Devilly's NPI number?

The NPI number for Simon Devilly is 1073678199. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Simon Devilly located?

Simon Devilly practices at 333 S Beaudry Ave, Los Angeles, CA 90017. The listed phone number is (323) 669-4365.

What is Simon Devilly's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Is Simon Devilly enrolled in Medicare?

Yes. Simon Devilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Simon Devilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Devilly reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Devilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simon Devilly was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.