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ROYAL E DEAN MD MEDICAL CORPORATION
NPI 1922309004
General Practice in Simi Valley, CA

Active since November 05, 2010CLIA 05D1099546 · Waiver
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065(805) 577-1515(805) 577-0559 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Royal E Dean Md Medical Corporation NPPES

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

ROYAL E DEAN MD MEDICAL CORPORATION (NPI 1922309004) is a healthcare organization registered as a general practice in Simi Valley, California and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Royal E Dean, Physician, as its authorized official.

NPPES Registry Identity

NPI1922309004
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameROYAL E DEAN MD MEDICAL CORPORATION
Location Address1687 ERRINGER RD STE 217Simi Valley, CA 93065-6510
Mailing Address1687 Erringer Rd Ste 217Simi Valley, CA 93065-6510 · (805) 577-1515 · Fax (805) 577-0559
Phone(805) 577-1515
Fax(805) 577-0559
Organization SubpartNo
Authorized OfficialRoyal E DeanPhysician · (805) 577-1515
Enumeration DateNovember 5, 2010
✔ NPI 1922309004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G063880
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1687 ERRINGER RD STE 217, Simi Valley, CA 93065
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Other Identifiers 1

Medicare UPINE79795CA

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 of Waiver 05D1099546

Royal E Dean, MD · Simi Valley, CA
Active · expires May 14, 2027
CLIA Number05D1099546
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorRoyal E. Dean, MD
Laboratory Phone(805) 577-1515
Laboratory LocationRoyal E Dean, MD1129 Red Tail Way, Simi Valley, CA 93065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

AG SIMPLY MEDICINE
Anesthesiology (Pain Medicine)
1687 ERRINGER RD STE 217
SIMI VALLEY, CA 93065
Ventura County (281) 505-5680
DR. ROYAL DEAN M.D.
General Practice
1687 ERRINGER RD STE 217
SIMI VALLEY, CA 93065
Ventura County (805) 577-0059
ADDICURE MEDICAL GROUP PC
Anesthesiology (Pain Medicine)
1687 ERRINGER RD STE 217
SIMI VALLEY, CA 93065
Ventura County (805) 526-1700

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 Royal E Dean MD Medical Corporation's NPI number?

The NPI number for Royal E Dean MD Medical Corporation is 1922309004. It was assigned to this organization in the NPPES registry on November 5, 2010.

Where is Royal E Dean MD Medical Corporation located?

Royal E Dean MD Medical Corporation is located at 1687 Erringer Rd Ste 217, Simi Valley, CA 93065. The listed phone number is (805) 577-1515.

What is Royal E Dean MD Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Royal E Dean MD Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1099546) is associated with this NPI, valid through May 14, 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 Royal E Dean MD Medical Corporation was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.