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

Jose Antonio C Sim

Individual provider Family Nurse Practitioner · NPI 1528825585

Jose Antonio C Sim is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone: (602) 342-8481
Fax: (602) 342-8328
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 302492 (AZ)

Record details

NPI number1528825585
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2024
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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