Healthcare Provider Details

I. General information

NPI: 1255276812
Provider Name (Legal Business Name): SIMMAI OUTREACH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 SWEETWATER AVE
MERCED CA
95341-7703
US

IV. Provider business mailing address

157 SWEETWATER AVE
MERCED CA
95341-7703
US

V. Phone/Fax

Practice location:
  • Phone: 412-639-1459
  • Fax:
Mailing address:
  • Phone: 412-639-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHANSAMAY GUZMAN
Title or Position: PROGRAM MANAGER
Credential:
Phone: 412-639-1459