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SIMI VALLEY URGENT CARE INC
NPI 1477376028
Clinic/Center - Urgent Care in Simi Valley, CA

Active since November 04, 2024CLIA 05D2318933 · Waiver
1350 E LOS ANGELES AVE STE 100, SIMI VALLEY, CA 93065(805) 272-6590(805) 272-6591 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 14, 2025, Dec 27, 2024, Nov 4, 2024 (3 updates tracked since 2024).

About Simi Valley Urgent Care Inc NPPES

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

SIMI VALLEY URGENT CARE INC (NPI 1477376028) is a healthcare organization registered as an urgent care in Simi Valley, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Farah Sultana Hasan, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1477376028
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSIMI VALLEY URGENT CARE INC
Location Address1350 E LOS ANGELES AVE STE 100Simi Valley, CA 93065-2898
Mailing Address1350 E Los Angeles Ave Ste 100Simi Valley, CA 93065-2898 · (818) 854-0759
Phone(805) 272-6590
Fax(805) 272-6591
Organization SubpartNo
Authorized OfficialFarah Sultana HasanAuthorized Official · (805) 272-6590
Enumeration DateNovember 4, 2024
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1477376028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
1350 E LOS ANGELES AVE STE 100, Simi Valley, CA 93065
Open in Google Maps ↗

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

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 Valley Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Simi Valley Urgent Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Farah Hasan, MD.
Family Practice
NPI 1568581726
1350 E LOS ANGELES STE 100
Simi Valley, CA 93065
(805) 522-3782
✔ PECOS✔ Accepts MedicareSame address

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 05D2318933

Simi Valley Urgent Care Inc · Simi Valley, CA
Active · expires Feb 19, 2027
CLIA Number05D2318933
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorFarah Hasan
Laboratory Phone(805) 272-6590
Laboratory LocationSimi Valley Urgent Care Inc1350 East Los Angeles Avenue Suite 100, Simi Valley, CA 93065
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 Valley Urgent Care Inc's NPI number?

The NPI number for Simi Valley Urgent Care Inc is 1477376028. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Simi Valley Urgent Care Inc located?

Simi Valley Urgent Care Inc is located at 1350 E Los Angeles Ave Ste 100, Simi Valley, CA 93065. The listed phone number is (805) 272-6590.

What is Simi Valley Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Simi Valley Urgent Care Inc enrolled in Medicare?

Yes. Simi Valley Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simi Valley Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Simi Valley Urgent Care Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Simi Valley Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2318933) is associated with this NPI, valid through February 19, 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 Valley Urgent Care Inc was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.