Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114244175 Individual Practitioner Male Practitioner

Dr. Peter John Simon , MD

Pediatrics • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Simon, MD is a registered healthcare professional specializing in Pediatrics in San Rafael, CA. Practice services are available at 3110 KERNER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3110 Kerner Blvd

San Rafael, CA 949015411

Telephone 4154481500
Associated Practice Facility / Clinic
🏢 Marin Community Clinic Facility NPI 1154503399

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
22 Specialists

Practicing in San Rafael, CA (9612 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

CMS Verified: 2026-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A120382

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Eunkyo Cho , DDS

Dentist - General Practice

NPI 1003264870

Doctor of Dental Surgery

Emmeline Lui , RDH

Dental Hygienist

NPI 1003454489

Registered Dental Hygienist

NPI 1013414507

Doctor of Osteopathic Medicine (D.O.)

Alexander Chavarria

Social Worker - Clinical

NPI 1013529338
Rohya Amiri

Dental Hygienist

NPI 1013646918
Lara Barth , FNP

Family Medicine

NPI 1023607397

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 22, 2026

Registered at 3110 KERNER BLVD, SAN RAFAEL, CA 949015411 (Tel: 4154481500)

📍
Updated Business Mailing Address April 22, 2026

Registered at 3110 KERNER BLVD, SAN RAFAEL, CA 949015411 (Tel: 4154481500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2026

Pediatrics (License #A120382 in CA)

NPI Profile Active April 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2010

Registered at 505 PARNASSUS AVE, SAN FRANCISCO, CA 941432204 (Tel: 4154765001)

📍
Updated Business Mailing Address April 29, 2010

Registered at 11 DOLORES ST, APT 2, SAN FRANCISCO, CA 941031061 (Tel: 6502964143)

👤
Provider Name / Credentials Updated April 29, 2010

Recorded as PETER SIMON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2010

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 29, 2010

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: 1114244175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2010
Last Update: April 22, 2026
Sole Proprietor: Yes

Mailing Address

3110 Kerner Blvd

San Rafael, CA 949015411

Phone: 4154481500

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.