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

Mrs. Moon V Tinajero-Simmaly, PA-C

Individual provider Physician Assistant · NPI 1295330694

Mrs. Moon V Tinajero-Simmaly, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2020, 6 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Nevada and Washington.

Years since qualifying
6
Licensed in
CA, NV, WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2101 NE 139th St Ste 460
Vancouver, WA 98686-2325
Phone: (360) 487-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9280 W Sunset Rd Ste 426, Las Vegas, NV 89148-4862 — (702) 688-8110
  • 6170 N Durango Dr Ste 130, Las Vegas, NV 89149-3923 — (702) 940-1550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61511235 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA2358 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 58655 (CA)

Record details

NPI number1295330694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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