Provider Demographics
NPI:1134818057
Name:CHRISTOPHER A. SIMMONS, MD
Entity type:Organization
Organization Name:CHRISTOPHER A. SIMMONS, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-998-5504
Mailing Address - Street 1:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-1308
Mailing Address - Country:US
Mailing Address - Phone:925-273-7508
Mailing Address - Fax:925-209-2995
Practice Address - Street 1:1027 BROWN AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3901
Practice Address - Country:US
Practice Address - Phone:925-273-7508
Practice Address - Fax:925-209-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty