DR. ELISA N SIMON M.D.
NPI 1417294869
Psychiatry & Neurology - Psychiatry in Patton, CA

Q: What is Elisa Simon's NPI number?

The NPI number for Elisa Simon is 1417294869. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Q: What is Elisa Simon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Elisa Simon was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since January 04, 2013PECOS Enrolled

3102 E HIGHLAND AVE, PATTON, CA 92369(909) 425-7000 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Aug 31, 2016 (2 updates tracked since 2016).

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About Dr. Elisa N Simon M.d. NPPES

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

DR. ELISA N SIMON M.D. (NPI 1417294869) is an individual psychiatry provider in Patton, California, licensed in California (A155860) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1417294869

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ELISA N SIMONCredential: M.D.

Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813

Mailing Address29257 Clear Spring LnHighland, CA 92346-6200 · (908) 967-7588 · Fax (908) 967-7588

Phone(909) 425-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJanuary 4, 2013

Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1417294869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A155860

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3102 E HIGHLAND AVE, Patton, CA 92369

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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)

Dr. Elisa N Simon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668765306

PECOS Enrollment IDI20190125001519

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Department Of State Hospitals

51 mi

Psychiatric Hospital

11401 BLOOMFIELD AVE
Norwalk, CA 90650

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1265406565 (562) 863-7011

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHAEL DALE DEWIT LCSW

Social Worker (Clinical)