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SIMI VALLEY CENTER FOR PLASTIC SURGERY
NPI 1053428409
Plastic Surgery - Surgery of the Hand in Simi Valley, CA

Active since August 23, 2006
2750 SYCAMORE DR STE 200, SIMI VALLEY, CA 93065(805) 579-0821(805) 579-0879 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simi Valley Center For Plastic Surgery NPPES

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

SIMI VALLEY CENTER FOR PLASTIC SURGERY (NPI 1053428409) is a healthcare organization registered as a surgery of the hand in Simi Valley, California and active in the NPI registry since August 2006. The organization lists Michael James Fealy, President, as its authorized official.

NPPES Registry Identity

NPI1053428409
Entity TypeOrganization
Primary Taxonomy2082S0105X
Legal Business NameSIMI VALLEY CENTER FOR PLASTIC SURGERY
Location Address2750 SYCAMORE DR STE 200Simi Valley, CA 93065-1500
Mailing Address2435 Springbrook StThousand Oaks, CA 91362-1147 · (805) 579-0821
Phone(805) 579-0821
Fax(805) 579-0879
Organization SubpartNo
Authorized OfficialMichael James FealyPresident · (805) 579-0821
Enumeration DateAugust 23, 2006
Last NPPES UpdateNovember 6, 2012
✔ NPI 1053428409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedPlastic SurgeryTaxonomy 208200000X
2750 SYCAMORE DR STE 200, Simi Valley, CA 93065
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Other Identifiers 2

Medicare ID-Type UnspecifiedW18236CA
Medicare UPINF16274CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Valley Center For Plastic Surgery's NPI number?

The NPI number for Simi Valley Center For Plastic Surgery is 1053428409. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Simi Valley Center For Plastic Surgery located?

Simi Valley Center For Plastic Surgery is located at 2750 Sycamore Dr Ste 200, Simi Valley, CA 93065. The listed phone number is (805) 579-0821.

What is Simi Valley Center For Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

When was this NPI record last updated?

The NPPES record for Simi Valley Center For Plastic Surgery was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.