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Nicholas Simon

Dentist - General Practice β€’ Glendora, CA

Active NPI 1962037689 Individual Practitioner Male Practitioner
Practice location in NPPES

310 W Foothill Blvd
Glendora, CA 917413358

Call 6263351208 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

310 W Foothill Blvd

Glendora, CA 917413358

Telephone 6263351208
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Lomita, CA; New York, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Glendora and California

34 active clinicians are listed under Dentist - General Practice with a practice address in Glendora, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Glendora

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 109281

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

2262 Pacific Coast Hwy

Lomita, CA 907172532

Phone: 3105303790

1 Gustave L Levy Pl # 1187

New York, NY 100296504

Phone: 2124234500

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 03, 2026

Registered at 310 W FOOTHILL BLVD, GLENDORA, CA 917413358 (Tel: 6263351208)

πŸ“
Updated Business Mailing Address March 03, 2026

Registered at 310 W FOOTHILL BLVD, GLENDORA, CA 917413358 (Tel: 6263351208)

βœ…
NPI Profile Active March 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2020

Registered at 1 GUSTAVE L LEVY PL # 1187, NEW YORK, NY 100296504 (Tel: 2124234500)

πŸ“
Business Mailing Address (Initial Record) March 04, 2020

Registered at 1 GUSTAVE L LEVY PL # 1187, NEW YORK, NY 100296504 (Tel: 2124234500)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2020

Recorded as NICHOLAS SIMON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962037689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2020
Last Update: March 03, 2026
Sole Proprietor: Yes

Other Dentist - General Practices in Glendora

All Dentist - General Practices in Glendora

Mailing Address

310 W Foothill Blvd

Glendora, CA 917413358

Phone: 6263351208

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.