Socal Medical Center., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOCAL MEDICAL CENTER., INC.

Practice address

1350 E Los Angeles Ave Ste 204
Simi Valley, CA 93065-2860

Phone

(818) 835-9517

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Bharat JainNPI 1063724060

Title

Secretory

Phone

(818) 917-3615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Bharat Jain, DC

  • Chiropractor
  • Canoga Park, CA
  • NPI 1063724060
  Medicare reassignment Authorized official
• David Stuart Siegel, MD

  • General Practice Physician
  • Riverside, CA
  • NPI 1023881646
  Medicare reassignment

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1174123038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E LOS ANGELES AVE STE 204",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652860",
            "telephone_number": "818-835-9517",
            "fax_number": "818-835-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E LOS ANGELES AVE STE 204",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652860",
            "telephone_number": "818-835-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MEDICAL CENTER., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "SECRETORY",
        "authorized_official_telephone_number": "818-917-3615"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Small
• Krista Smith
• Nicholas Smith, DPT
• Toni Lynn Smith
• Desiray Laura Smolen
• Poonam Sohal
• Sohn Homecare and Medical Staffing LLC
• Shalini Ritesh Solanki, M.ED
• Solara Hospice, Inc (Solara Hospice & Palliative Care)
• Mitchell Lee Solomon, M.D.

• Family Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.