Simi San Fernando Valley Urology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

A37982 Issued in CA

Legal business name

SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES

Practice address

2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1207

Phone

(805) 583-0944

Fax

(805) 526-0417

NPI assigned

Mar 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Muni Nanjunda Reddy, MD

Title

Sr. Partner

Phone

(805) 583-0944

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Simi San Fernando Valley Urology Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Simi San Fernando Valley Urology Associates

  • Specialist
  • Thousand Oaks, CA
  • NPI 1184724502
  NPD tax ID
• Simi San Fernando Valley Urology Associates

  • Specialist
  • Mission Hills, CA
  • NPI 1275633695
  NPD tax ID
• Simi San Fernando Valley Urology Associates

  • Specialist
  • Sylmar, CA
  • NPI 1891893004
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: danielniku@simisan.medalliesdirect.net
• Direct secure messaging: shashireddy@simisan.medalliesdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soheil Daniel Niku, MD

  • Specialist
  • Simi Valley, CA
  • NPI 1114994274
  NPD
• Shashi Kant Reddy, MD

  • Specialist
  • Simi Valley, CA
  • NPI 1588632335
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1023085271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651207",
            "telephone_number": "805-583-0944",
            "fax_number": "805-526-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651207",
            "telephone_number": "805-583-0944",
            "fax_number": "805-526-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MUNI",
        "authorized_official_middle_name": "NANJUNDA",
        "authorized_official_title_or_position": "SR. PARTNER",
        "authorized_official_telephone_number": "805-583-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID#",
            "identifier": "W7935",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simi Primary Care Medical Group Inc
• Simi Psychological Group, Apc
• Simi Radiology and Imaging Medical Group
• Simi Regional Urgent Care PC
• Simi Royal Dental Center
• Simi Spine and Wellness a Chiropractic Corporation of Shawn Decloedt
• Simi Surgery Center Inc.
• Simi Valley Anesthesia Medical Group
• Simi Valley Birth Center
• Simi Valley Birth Center

• Specialist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.