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

Dr. Simon Tanksley, MD

Individual provider Family Medicine Physician · NPI 1407084098

Dr. Simon Tanksley, MD is a Family Practice in San Marcos, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Arch Health Partners Inc, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Ohio and South Carolina.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA, OH, SC
In the registry since
2009
Specialties on file
3
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

400 Craven Rd
San Marcos, CA 92078-4201
Phone: (619) 528-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 144412 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.099023 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD31884 (SC)

Record details

NPI number1407084098
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESMarch 7, 2023
Mailing address14119 Ipava Dr, Poway, CA 92064-3424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Arch Health Partners Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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