MAIRA E SIMENTAL (MD) – Radiation Oncology Physician, NPI 1891779997

MAIRA E SIMENTAL (MD) is a healthcare provider. based in Los angeles, California. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. A67312 (CA). The NPI Number for MAIRA E SIMENTAL (MD) is 1891779997

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MAIRA E SIMENTAL (MD)
NPI
1891779997
Phone
(626) 775-3514
Address
PO BOX 512185
Enumeration Date
1 December 2005
Last Update Date
11 November 2020

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9094752700
Graduation Year
1997 (29 years ago)
PAC ID
1759316334
Group Practice PAC ID
3779751656
Professional Enrollment ID
I20051003000382
Address ID
CA924043800SA401XXAVEX402

Contacts

Secure Messaging
direct@cityofhope.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

677 RADIATION ONCOLOGY in CA

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Provider Addresses for MAIRA E SIMENTAL (MD)

  • Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico

    LOS ANGELES, CA 900510185

    Phone: (626) 775-3514

    Type: Mailing

  • 401, East Highland Avenue, Plymouth Village, Redlands, San Bernardino County, California, 92373, United States

    SAN BERNARDINO, CA 924043803

    Phone: (909) 475-2700

    Fax: (909) 475-2738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051003000382IRadiation OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session18413$0
77014Ct guidance for insertion of radiation therapy fields18313$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy13017$0
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev11014$0
77300Calculation of radiation therapy dose5317$0
View full utilization report →

Insurance plans in this area (ZIP 90051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779751656View full group profile
NameSpecialtyState
-CA
Nurse PractitionerCA
Cardiovascular Disease (Cardiology)CA
Hematology/Oncology, Internal MedicineCA
-CA
Nurse PractitionerCA
Certified Registered Nurse Anesthetist (Crna)CA
Endocrinology, Internal MedicineCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Does MAIRA E SIMENTAL (MD) have a public NPI I can cite?
Public records show MAIRA E SIMENTAL (MD) under NPI 1891779997.
Should I treat MAIRA E SIMENTAL (MD) as an active provider?
Patients and plans typically see MAIRA E SIMENTAL (MD) as active in the national extract.
What services align with MAIRA E SIMENTAL (MD)'s listing?
MAIRA E SIMENTAL (MD)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MAIRA E SIMENTAL (MD)?
MAIRA E SIMENTAL (MD) shows a connection to Los Angeles, California in registry-derived data.
Why is information missing for MAIRA E SIMENTAL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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