NPIMap

Organization Active NPI

Simi San Fernando Valley Urology Associates

  • Specialist
  • Simi Valley, CA
National Provider Identifier
1023085271
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Muni Nanjunda Reddy, MDNPI 1295705606
Title
Sr. Partner
Phone
(805) 583-0944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A37982 CA Primary

Addresses

Primary practice location

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

Mailing address

2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1207
Phone (805) 583-0944

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0945286Simi San Fernando Valley Urology Associates2925 N Sycamore Dr Ste 103, Simi Valley, CA 93065Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory
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.

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • 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.