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Deactivated NPI 1275010852 Deactivated / Inactive NPI Female Practitioner

Pingkan Leilani Simauw

Case Manager/Care Coordinator • Mentone, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Pingkan Simauw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2018
NPI Deactivation Date November 13, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Pingkan Simauw was a registered Case Manager/Care Coordinator practicing in Mentone, CA. Throughout an active medical career spanning 1 years, Pingkan Simauw provided care at the practice location at 10360 ROCK ST until profile deactivation on 2019-11-13.

Practice Location & Contact Primary Location

Practice Address

10360 Rock St

Mentone, CA 92359

Telephone 9093618036

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Mentone, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Mentone, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2019

Record deactivated on November 13, 2019

NPI Profile Active August 07, 2018

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2018

Registered at 10360 ROCK ST, MENTONE, CA 92359 (Tel: 9093618036)

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Updated Business Mailing Address August 07, 2018

Registered at 10360 ROCK ST, MENTONE, CA 923591291 (Tel: 9093618036)

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Provider Name / Credentials Updated August 07, 2018

Recorded as PINGKAN SIMAUW

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration July 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275010852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: August 07, 2018
Deactivation Date: November 13, 2019

Mailing Address

10360 Rock St

Mentone, CA 923591291

Phone: 9093618036

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.