DR. MARY F SIMON M.D.
NPI 1194711275
Pediatrics in Fresno, CA

NPI Status: Active since September 23, 2005

Contact Information

5715 N WEST AVE STE 102
FRESNO, CA
ZIP 93711
Phone: (559) 228-3069
Fax: (559) 228-9228

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  • Individual
  • Female
  • Pediatrics

About MARY SIMON

This page provides the complete NPI Profile along with additional information for Mary Simon, a pediatrician established in Fresno, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1194711275 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number 40323 (CA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1194711275
Provider Name
DR. MARY F SIMON M.D.
Other Name
MARY F WEISBERG MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
5715 N WEST AVE STE 102 FRESNO, CA 93711
Location Phone
(559) 228-3069
Location Fax
(559) 228-9228
Mailing Address
5715 N WEST AVE STE 102 FRESNO, CA 93711
Mailing Phone
(559) 228-3069
Mailing Fax
(559) 228-9228
Is Sole Proprietor?
Yes
Enumeration Date
09-23-2005
Last Update Date
02-20-2015
Code Navigator

A pediatrician like Mary Simon is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
40323
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00A403230MEDICARE ID-TYPE UNSPECIFIED (04)CA 
00A403230OTHER (01)CABLUE SHIELD PIN
00A403231MEDICAID (05)CA 
A29098MEDICARE UPIN (02)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194711275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 4 + 1 + 2 + 2 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1194711275.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194711275, enumerated as an "individual" on September 23, 2005.

The provider is located at 5715 N WEST AVE STE 102 FRESNO, CA 93711 and the phone number is (559) 228-3069.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.