Individual provider Active NPI

Lakshmanan Sivasundaram

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Simi Valley, CA
National Provider Identifier
1245694462
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A175877 Issued in CA
Practice address
2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone
(805) 527-1404
NPI assigned
Apr 13, 2016
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A175877 CA Primary

Addresses

Primary practice location

2525 Erringer Rd
Simi Valley, CA 93065-2352

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Other practice location 1

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-4574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210521000135 IL Practitioner - Orthopedic Surgery 2365851664 Reassigns benefits to 1 organization
I20221128002271 CA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2365851664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone (805) 527-1404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175877CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. Orthopaedic Surgery CurrentSince Apr 3, 2023 Accepting new patients
Ventura Orthopedics Medical Group, Inc. Orthopaedic Surgery CurrentSince Apr 3, 2023 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Orthopaedic Surgery CurrentSince Sep 15, 2022 Accepting new patients
Ventura Orthopedics Medical Group, Inc. Orthopaedic Surgery Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Sep 15, 2022 Accepting new patients
Rush University Medical Center Past Accepting new patients
Trias Global, LLC Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 482-5699

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

2525 Erringer Rd
Simi Valley, CA 93065
Phone (805) 527-1404

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

12490 Business Center Dr
#100
Victorville, CA 92395
Phone (605) 528-5857

12490 Business Center Dr
Ste 100
Victorville, CA 92395
Phone (760) 522-8585

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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

Hospital & facility affiliations 2

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1245694462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ERRINGER RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652352",
            "telephone_number": "805-527-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 E Thousand Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913605707",
            "country_code": "US",
            "telephone_number": "805-379-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVASUNDARAM",
        "first_name": "LAKSHMANAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A175877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.