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SIMI MEDICAL GROUP, INC
NPI 1346768025
Family Medicine in Simi Valley, CA

Active since September 01, 2017CLIA 05D2149127 · Microscopy
2755 ALAMO ST STE 101, SIMI VALLEY, CA 93065(805) 210-7280(802) 210-7281 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simi Medical Group, Inc NPPES

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

SIMI MEDICAL GROUP, INC (NPI 1346768025) is a healthcare organization registered as a family medicine in Simi Valley, California and active in the NPI registry since September 2017. The organization holds a CLIA Microscopy certificate valid through May 23, 2028 and lists Izela Juanita Guerra, Manager, as its authorized official.

NPPES Registry Identity

NPI1346768025
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSIMI MEDICAL GROUP, INC
Location Address2755 ALAMO ST STE 101Simi Valley, CA 93065-1311
Mailing Address904 W 11th StUpland, CA 91786-3702 · (951) 205-1192 · Fax (909) 985-9772
Phone(805) 210-7280
Fax(802) 210-7281
Organization SubpartNo
Authorized OfficialIzela Juanita GuerraManager · (951) 205-1192
Enumeration DateSeptember 1, 2017
✔ NPI 1346768025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G29685
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2755 ALAMO ST STE 101, Simi Valley, CA 93065
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2149127

Simi Medical Group Inc · Simi Valley, CA
Active · expires May 23, 2028
CLIA Number05D2149127
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorRichard M. Shaw
Laboratory Phone(805) 210-7280
Laboratory LocationSimi Medical Group Inc2755 Alamo St Ste 101, Simi Valley, CA 93065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

KELLY MARIE STEPHENS RN, NP
Nurse Practitioner
2755 ALAMO ST STE 101
SIMI VALLEY, CA 93065
Ventura County (801) 361-7757
DEEPA K REDDY M.D.
Family Medicine
2755 ALAMO ST STE 101
SIMI VALLEY, CA 93065
Ventura County (805) 210-7280
WILLIAM ANG LEE MD
Internal Medicine
2755 ALAMO ST STE 101
SIMI VALLEY, CA 93065
Ventura County (818) 726-1930
MRS. MINE MOOSAKHANIAN FNP-C
Nurse Practitioner (Primary Care)
2755 ALAMO ST STE 101
SIMI VALLEY, CA 93065
Ventura County (805) 210-7280

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 Medical Group, Inc's NPI number?

The NPI number for Simi Medical Group, Inc is 1346768025. It was assigned to this organization in the NPPES registry on September 1, 2017.

Where is Simi Medical Group, Inc located?

Simi Medical Group, Inc is located at 2755 Alamo St Ste 101, Simi Valley, CA 93065. The listed phone number is (805) 210-7280.

What is Simi Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Simi Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2149127) is associated with this NPI, valid through May 23, 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 Medical Group, Inc was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.