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

Dr. Simran Waller

Individual provider Family Medicine Physician · NPI 1710415179

Dr. Simran Waller is a Family Practice in Livermore, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017

Practice location Address checks out

3000 Las Positas Rd
Livermore, CA 94551-9627
Phone: (925) 243-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A187918 (CA)

Record details

NPI number1710415179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address3000 Las Positas Rd, Livermore, CA 94551-9627

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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