MEDICARE: CHRISTOPHER DI SIMONE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	A74788	AZ
2	207RX0202X	Medical Oncology Physician	A74788	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861461147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER DI SIMONE M.D.

Provider Business Mailing Address
First Line	:	39000 BOB HOPE DR
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3221
Country	:	US
Telephone Number	:	760-346-7655
Fax Number	:	760-773-1667

Provider Business Practice Location Address
First Line	:	3555 ROUND BARN CIR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1757
Country	:	US
Telephone Number	:	707-528-1050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/19/2025

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