NPIMap

Individual provider Active NPI

Soheil Daniel Niku, MD

  • Specialist
  • Simi Valley, CA
National Provider Identifier
1114994274
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G00079 Issued in CA
Practice address
2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1208
Phone
(805) 583-0944
Fax
(805) 526-0417
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G00079 CA Primary

Addresses

Primary practice location

2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1208

Mailing address

2925 N Sycamore Dr
Suite 103
Simi Valley, CA 93065-1208
Phone (805) 583-0944

Other identifiers 1

IdentifierTypeStateIssuer
00G705800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000316 CA Practitioner - Urology 2466415641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simi-San Fernando Valley Urology AssociatesGroup PAC ID 6507757796, 3 clinicians

Practice addresses (Care Compare)

14901 Rinaldi St
Suite 205
Mission Hills, CA 91345-1254

2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1208
Phone 8055830944104

Hospital & facility affiliations

  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
95.82
Improvement activities
40
Cost
73.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G00079CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Simi San Fernando Valley Urology Associates Specialist Current Accepting new patients
Simi Surgery Center Inc. PastSince Jul 23, 2006 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Alan Shiener MD Inc. Specialist Past Accepting new patients

Locations

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1114994274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N SYCAMORE DR",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "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": "930651208",
            "telephone_number": "805-583-0944",
            "fax_number": "805-526-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKU",
        "first_name": "SOHEIL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G00079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G705800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.