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CLINICAS DEL CAMINO REAL, INC. SIMI VALLEY MADERA
NPI 1720362056
Clinic/Center - Federally Qualified Health Center (FQHC) in Simi Valley, CA

Active since October 05, 2011
1424 MADERA RD, SIMI VALLEY, CA 93065(805) 522-5722(805) 672-0107 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 7, 2022, Apr 20, 2022, Oct 21, 2021 and 1 more (4 updates tracked since 2021).

About Clinicas Del Camino Real, Inc. Simi Valley Madera NPPES

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

CLINICAS DEL CAMINO REAL, INC. SIMI VALLEY MADERA (NPI 1720362056) is a healthcare organization registered as a federally qualified health center (fqhc) in Simi Valley, California and active in the NPI registry since October 2011. The organization lists Farhad Benharash, Chief Financial Offcier, as its authorized official.

NPPES Registry Identity

NPI1720362056
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLINICAS DEL CAMINO REAL INC
Location Address1424 MADERA RDSimi Valley, CA 93065-3000
Mailing Address200 S Wells Rd, Suite 200Ventura, CA 93004-1377 · (805) 659-1740 · Fax (805) 659-9959
Phone(805) 522-5722
Fax(805) 672-0107
Organization SubpartNo
Authorized OfficialFarhad BenharashChief Financial Offcier · (805) 659-1740
Enumeration DateOctober 5, 2011
Last NPPES UpdateJune 7, 20224 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1720362056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 550001837
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 550001837 (CA)
1424 MADERA RD, Simi Valley, CA 93065
Open in Google Maps ↗

Other Names 1

Doing Business AsClinicas Del Camino Real, Inc. Simi Valley Madera

Other Identifiers 1

Medicaid1720362056CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinicas Del Camino Real, Inc. Simi Valley Madera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

215

Medicare enrollment records show 215 clinicians reassign Medicare billing to Clinicas Del Camino Real, Inc. Simi Valley Madera, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Family Practice48
Nurse Practitioner35
Optometry28
Obstetrics/Gynecology18
Clinical Social Worker17
Pediatric Medicine16
Internal Medicine11
Marriage and Family Therapist10
13 other specialties32

Nearest to this location (20)

See all 215
Betty Gutman, LCSW
Clinical Social Worker
NPI 1023199510
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOS✔ Accepts MedicareSame address
Everardo Camacho, DC
Chiropractic
NPI 1659061265
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
Same address
Shannon George-Sozzi
Family Practice
NPI 1598622987
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOSSame address
Jee Hoon Jang, MD
Internal Medicine
NPI 1639691579
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOS✔ Accepts MedicareSame address
Charles Nguyen
Chiropractic
NPI 1972716942
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ Accepts MedicareSame address
Tammy Prado
Nurse Practitioner
NPI 1962036285
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOS✔ Accepts MedicareSame address
Kelsi Rau, RN, NP
Nurse Practitioner
NPI 1972173359
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOSSame address
Michelle Silva
Nurse Practitioner
NPI 1487104758
1424 MADERA RD
Simi Valley, CA 93065
(805) 522-5722
✔ PECOS✔ Accepts MedicareSame address
Ivone Umar Ghazaleh
Clinical Psychologist
NPI 1265738645
2530 ASHMORE CIR APT. 28
Thousand Oaks, CA 91362
(805) 570-3321
✔ PECOS✔ Accepts Medicare4.0 mi
Don Stanley, D.C.
Chiropractic
NPI 1154492395
530 NEW LOS ANGELES AVE SUITE #204
Moorpark, CA 93021
(805) 523-7146
4.5 mi
Tarika Balyan
Nurse Practitioner
NPI 1619405867
4370 EVE RD
Simi Valley, CA 93063
(805) 915-4400
✔ PECOS✔ Accepts Medicare5.1 mi
Devaki Narayanan
Clinical Social Worker
NPI 1902136245
4370 EVE RD
Simi Valley, CA 93063
(805) 915-4400
✔ PECOS5.1 mi
Amanda Setto, OD, FAAO
Optometry
NPI 1073082335
4370 EVE RD
Simi Valley, CA 93063
(805) 915-4400
✔ PECOS✔ Accepts Medicare5.1 mi
Madeline Sanchez, M.D.
Family Practice
NPI 1649619800
4370 EVE RD
Simi Valley, CA 93063
(805) 915-4400
✔ PECOS✔ Accepts Medicare5.1 mi
Annie Hovakemian, OD
Optometry
NPI 1063935880
4279 TIERRA REJADA RD
Moorpark, CA 93021
(805) 222-2323
✔ PECOS✔ Accepts Medicare6.0 mi
Richard Hu, M.D.
Pediatric Medicine
NPI 1356046643
4279 TIERRA REJADA RD
Moorpark, CA 93021
(805) 222-2323
✔ PECOS6.0 mi
Efthymia Pyladaki
Marriage and Family Therapist
NPI 1912260589
4279 TIERRA REJADA RD
Moorpark, CA 93021
(805) 222-2323
✔ PECOS6.0 mi
James Weintraub, MD
Dermatology
NPI 1033277231
1240 S WESTLAKE BLVD SUITE 102
Westlake Village, CA 91361
(805) 496-7888
✔ PECOS✔ Accepts Medicare8.3 mi
Allan Laird
Chiropractic
NPI 1174665640
1000 NEWBURY RD STE 150
Newbury Park, CA 91320
(805) 498-3640
8.4 mi
Ashley Benjamin
Psychiatry
NPI 1558383059
3836 KANAN RD
Agoura Hills, CA 91301
(818) 532-7018
✔ PECOS9.5 mi
See all 215 clinicians

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

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 Clinicas Del Camino Real Inc's NPI number?

The NPI number for Clinicas Del Camino Real Inc is 1720362056. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is doing business as Clinicas Del Camino Real, Inc. Simi Valley Madera.

Where is Clinicas Del Camino Real Inc located?

Clinicas Del Camino Real Inc is located at 1424 Madera Rd, Simi Valley, CA 93065. The listed phone number is (805) 522-5722.

What is Clinicas Del Camino Real Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Clinicas Del Camino Real Inc enrolled in Medicare?

Yes. Clinicas Del Camino Real Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinicas Del Camino Real Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 215 clinicians in 21 Medicare specialties reassign their Medicare billing to Clinicas Del Camino Real 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. The largest specialties are Family Practice (48), Nurse Practitioner (35) and Optometry (28). Of these, 8 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinicas Del Camino Real Inc was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.