Simi Valley Center for Plastic Surgery

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

Legal business name

SIMI VALLEY CENTER FOR PLASTIC SURGERY

Practice address

2750 Sycamore Dr Ste 200
Simi Valley, CA 93065-1500

Phone

(805) 579-0821

Fax

(805) 579-0879

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Fealy, M.D.NPI 1669468872

Title

President

Phone

(805) 579-0821

Specialties & licenses 2

Addresses

Practitioners 1

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

• Michael James Fealy, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Simi Valley, CA
  • NPI 1669468872
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1053428409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 SPRINGBROOK ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621147",
            "telephone_number": "805-579-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR STE 200",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-579-0821",
            "fax_number": "805-579-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI VALLEY CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "FEALY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-579-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simi Surgery Center Inc.
• Simi Valley Anesthesia Medical Group
• Simi Valley Birth Center
• Simi Valley Birth Center
• Simi Valley Care Home, Inc.
• Simi Valley Congregate Living, Inc
• Simi Valley Emergency Physicians
• Simi Valley Family Therapy Inc
• Simi Valley Home Health
• Simi Valley Hospital

• Surgery of the Hand (Plastic Surgery) Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.