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SIMY SURESH ANTONY NP
NPI 1316459407
Nurse Practitioner - Family in Santa Rosa, CA

Active since October 29, 2017
435 DOYLE PARK DR, SANTA ROSA, CA 95405(707) 527-9510(707) 527-1306 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2019, Oct 29, 2017 (2 updates tracked since 2017).

About Simy Suresh Antony Np NPPES

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

SIMY SURESH ANTONY NP (NPI 1316459407) is an individual family provider in Santa Rosa, California, licensed in California (NP95007018) and active in the NPI registry since October 2017. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1316459407
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIMY SURESH ANTONYCredential: NP
Location Address435 DOYLE PARK DRSanta Rosa, CA 95405-4515
Mailing Address118 Oakstone WayAmerican Canyon, CA 94503-1458 · (707) 704-2897
Phone(707) 527-9510
Fax(707) 527-1306
Sole ProprietorNo
Enumeration DateOctober 29, 2017
Last NPPES UpdateJanuary 9, 20192 updates tracked since enumeration
✔ NPI 1316459407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95007018
435 DOYLE PARK DR, Santa Rosa, CA 95405
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Secondary Practice Location 1

Location 1350 Hawthorne AveOakland, CA 94609-3108 · Phone (510) 869-8865

Other Providers at the Same Location NPPES 5

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

DR. CARL WILSON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
SANTA ROSA KIDNEY CARE PC
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
DR. JILL ELIZABETH EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
CARL WILSON MD INC & JILL EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
FMCPS SANTA ROSA LLC
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510

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 Simy Suresh Antony's NPI number?

The NPI number for Simy Suresh Antony is 1316459407. It was assigned to this individual provider in the NPPES registry on October 29, 2017.

Where is Simy Suresh Antony located?

Simy Suresh Antony practices at 435 Doyle Park Dr, Santa Rosa, CA 95405. The listed phone number is (707) 527-9510.

What is Simy Suresh Antony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Simy Suresh Antony was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.