Healthcare Provider Details

I. General information

NPI: 1558632505
Provider Name (Legal Business Name): SIMRANJIT SEKHON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1779 DOMINICAN WAY STE B
SANTA CRUZ CA
95065-1526
US

IV. Provider business mailing address

1779 DOMINICAN WAY STE B
SANTA CRUZ CA
95065-1526
US

V. Phone/Fax

Practice location:
  • Phone: 831-427-7110
  • Fax: 831-462-1025
Mailing address:
  • Phone: 831-427-7110
  • Fax: 831-462-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA127364
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA127364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: