MEDICARE: DR. GILBERTO MANUEL SIMAS MD

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	2084P0800X	Psychiatry Physician	DR.0068674	CO
2	2084P0802X	Addiction Psychiatry Physician	MD60044426	WA
3	2084P0800X	Psychiatry Physician	C178910	CA

General Provider Information

NPI Number	:	1497802383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERTO MANUEL SIMAS MD

Provider Business Mailing Address
First Line	:	2747 PARADISE RD UNIT 2105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-9065
Country	:	US
Telephone Number	:	702-575-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 WILSHIRE BLVD FL 19
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4920
Country	:	US
Telephone Number	:	805-764-9651
Fax Number	:	747-330-1670

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	06/01/2026

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