Provider Demographics
NPI:1316922958
Name:SIMONI, GILBERT (MD, FACG)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:SIMONI
Suffix:
Gender:M
Credentials:MD, FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 MARIN ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4236
Mailing Address - Country:US
Mailing Address - Phone:805-719-0244
Mailing Address - Fax:805-777-1730
Practice Address - Street 1:555 MARIN ST STE 270
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4112
Practice Address - Country:US
Practice Address - Phone:805-719-0244
Practice Address - Fax:805-777-1730
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77140207R00000X, 207RI0008X, 207RG0100X
NJMA74330207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH69991Medicare UPIN