SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
NPI 1275633695
Specialist in Mission Hills, CA

Active since September 25, 2006CLIA 05D0948535 · Waiver
14901 RINALDI ST, SUITE 205, MISSION HILLS, CA 91345(818) 365-0259(805) 365-0827 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 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 1275633695) is a healthcare organization registered as a specialist in Mission Hills, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Muni Nanjunda Reddy, Sr. Partner, as its authorized official.

NPPES Registry Identity

NPI1275633695
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
Location Address14901 RINALDI ST, SUITE 205Mission Hills, CA 91345-1204
Mailing Address14901 Rinaldi St, Suite 205Mission Hills, CA 91345-1204 · (818) 365-0259 · Fax (805) 365-0827
Fax(805) 365-0827
Organization SubpartNo
Authorized OfficialMuni Nanjunda ReddySr. Partner · (818) 365-0259
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1275633695 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.
14901 RINALDI ST, Mission Hills, CA 91345

Other Identifiers 4

Medicaid00A379820CA
Medicare PINW7935ACA
Medicare UPINA28500CA
Medicare ID-Type UnspecifiedW7935ACA · Medicare Group 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simi San Fernando Valley Urology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Simi San Fernando Valley Urology Associates, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Emergency Medicine
NPI 1295705606
2925 SYCAMORE DR SUITE 103
Simi Valley, CA 93065
(805) 583-0944
✔ PECOS16 mi
Urology
NPI 1588632335
2925 SYCAMORE DR SUITE 103
Simi Valley, CA 93065
(805) 583-0944
✔ PECOS✔ Accepts Medicare16 mi
Urology
NPI 1083681134
2925 SYCAMORE DR SUITE 103
Simi Valley, CA 93065
(805) 583-0944
✔ PECOS✔ Accepts Medicare16 mi
Urology
NPI 1114994274
2925 SYCAMORE DR SUITE 103
Simi Valley, CA 93065
(805) 583-0944
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0948535

Simi-San Fernando Valley Urology Assoc · Mission Hills, CA
Active · expires Jul 12, 2028
CLIA Number05D0948535
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorMuni N. Reddy MD
Laboratory Phone(818) 365-0259
Laboratory LocationSimi-San Fernando Valley Urology Assoc14901 Rinaldi Street Suite 205, Mission Hills, CA 91345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1275633695. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Simi San Fernando Valley Urology Associates located?

Simi San Fernando Valley Urology Associates is located at 14901 Rinaldi St Suite 205, Mission Hills, CA 91345. The listed phone number is (818) 365-0259.

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

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

Is Simi San Fernando Valley Urology Associates enrolled in Medicare?

Yes. Simi San Fernando Valley Urology Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simi San Fernando Valley Urology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Simi San Fernando Valley Urology Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (3) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 05D0948535) is associated with this NPI, valid through July 12, 2028. 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.