Look up the most recent NPI and PECOS records

Corey Brooke Simpson

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Corey Brooke Simpson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1356404834
Provider Type
Individual
Full Name
Simpson, Corey Brooke
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
12/18/2006
Last Updated
9/10/2014

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8036

Unlisted Fax

Mailing Location

3020 Childrens Way, Mc5075, San Diego, CA 92123-4223

(858) 966-8036

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A96494 California

Provider Identifiers

ID	Description	Issuer
ID 00A964940	Description Medicaid	Issuer Unlisted California
ID 8BQ028	Description Other	Issuer BCBS Texas

Corey Brooke Simpson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Clark, Patricia Chu

Patel, Siri J

Wilcox, Graciela

Crawford, Michael Andrew

Earley, Samantha Quinn

Powell, Stephanie J

Amin, Milan Dipak

Stein, Martin T

Mannino Avila, Elizabeth Ellen

Ulloa, Erlinda