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SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
NPI 1023085271
Specialist in Simi Valley, CA

Active since March 07, 2006CLIA 05D0945286 · Waiver
2925 SYCAMORE DR, SUITE 103, SIMI VALLEY, CA 93065(805) 583-0944(805) 526-0417 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simi San Fernando Valley Urology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES (NPI 1023085271) is a healthcare organization registered as a specialist in Simi Valley, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Muni Nanjunda Reddy, Sr. Partner, as its authorized official.

NPPES Registry Identity

NPI1023085271
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
Location Address2925 SYCAMORE DR, SUITE 103Simi Valley, CA 93065-1207
Mailing Address2925 Sycamore Dr, Suite 103Simi Valley, CA 93065-1207 · (805) 583-0944 · Fax (805) 526-0417
Phone(805) 583-0944
Fax(805) 526-0417
Organization SubpartNo
Authorized OfficialMuni Nanjunda ReddySr. Partner · (805) 583-0944
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1023085271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A37982
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2925 SYCAMORE DR, Simi Valley, CA 93065
Open in Google Maps ↗

Other Identifiers 3

OtherW7935CA · Medicare Group Id#
MedicaidGR0029661CA
Medicare ID-Type UnspecifiedW7935CA · Group Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0945286

Simi San Fernando Valley Urology Associates · Simi Valley, CA
Active · expires Sep 5, 2027
CLIA Number05D0945286
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorMuni N. Reddy MD
Laboratory Phone(805) 583-0944
Laboratory LocationSimi San Fernando Valley Urology Associates2925 N Sycamore Dr Ste 103, Simi Valley, CA 93065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMITA DARSHAN MEHTA P.A.
Physician Assistant
2925 SYCAMORE DR, SUITE 204-205
SIMI VALLEY, CA 93065
Ventura County (805) 578-9620
JUN YUNG KIM FNP
Nurse Practitioner (Family)
2925 SYCAMORE DR, SUITE 204/205
SIMI VALLEY, CA 93065
Ventura County (805) 578-9620
DR. GANESH L DEVENDRA MD
Specialist
2925 SYCAMORE DR, SUITE 103
SIMI VALLEY, CA 93065
Ventura County (805) 583-0944
DR. SOHEIL DANIEL NIKU MD
Specialist
2925 SYCAMORE DR, SUITE 103
SIMI VALLEY, CA 93065
Ventura County (805) 583-0944
JEROLD T. LITOFF, M.D. A PROFESSIONAL CORP.
Neuromusculoskeletal Medicine, Sports Medicine
2925 SYCAMORE DR, SUITE 202
SIMI VALLEY, CA 93065
Ventura County (805) 527-3222
SIMI DERMATOLOGIC MEDICAL CENTER, INC
Dermatology
2925 SYCAMORE DR, STE 203
SIMI VALLEY, CA 93065
Ventura County (805) 527-6586
BRUCE A NELSON M.D.
Family Medicine
2925 SYCAMORE DR, SUITE 204/205
SIMI VALLEY, CA 93065
Ventura County (805) 578-9620
SUSAN D ORGAN P.T.
Physical Therapist
2925 SYCAMORE DR, SUITE 202
SIMI VALLEY, CA 93065
Ventura County (805) 527-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simi San Fernando Valley Urology Associates's NPI number?

The NPI number for Simi San Fernando Valley Urology Associates is 1023085271. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Simi San Fernando Valley Urology Associates located?

Simi San Fernando Valley Urology Associates is located at 2925 Sycamore Dr Suite 103, Simi Valley, CA 93065. The listed phone number is (805) 583-0944.

What is Simi San Fernando Valley Urology Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Simi San Fernando Valley Urology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0945286) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simi San Fernando Valley Urology Associates was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.