Healthcare Provider Details

I. General information

NPI: 1922495464
Provider Name (Legal Business Name): SIMA PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 FENTON ST
LIVERMORE CA
94550-4144
US

IV. Provider business mailing address

1750 LINDEN ST
LIVERMORE CA
94551-2818
US

V. Phone/Fax

Practice location:
  • Phone: 925-443-1800
  • Fax:
Mailing address:
  • Phone: 925-321-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA160002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: