Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter John Simon, MD

Individual provider Pediatrics Physician · NPI 1114244175

Dr. Peter John Simon, MD is a Pediatrics Physician in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3110 Kerner Blvd
San Rafael, CA 94901-5411
Phone: (415) 448-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A120382 (CA)

Record details

NPI number1114244175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 29, 2010
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address3110 Kerner Blvd, San Rafael, CA 94901-5411

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