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

Simpledeep Banipal, MD

Individual provider Surgery Physician · NPI 1306181375

Simpledeep Banipal, MD is a Vascular Surgery in Riverside, California. Graduated from Temple University School of Medicine in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
16
Trained at
Temple University School of Medicine
Licensed in
CA, IL
In the registry since
2012
Specialties on file
2
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

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A154251 (CA)
Surgery Physician Taxonomy 208600000X · Licence 125057681 (IL)

Record details

NPI number1306181375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 3, 2012
Last updated in NPPESApril 13, 2025
Certification dateApril 13, 2025
Mailing address12791 Blush Ct, Riverside, CA 92503-7008

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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