Organization Active NPI

Simi Regional Urgent Care PC

  • Urgent Care Clinic/Center
  • Simi Valley, CA
National Provider Identifier
1316808777
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SIMI REGIONAL URGENT CARE PC
Practice address
2925 Sycamore Dr Ste 101a
Simi Valley, CA 93065-1208
Phone
(650) 580-7253
NPI assigned
Nov 24, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mrs. Divina Masaquel-Santiago, NPNPI 1437595493
Title
Ceo
Phone
(650) 580-7253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 101a
Simi Valley, CA 93065-1208

Mailing address

2925 Sycamore Dr Ste 101a
Simi Valley, CA 93065-1208
Phone (925) 557-8063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260320003012 CA Part B Supplier - Clinic/Group Practice 2769966324 Receives reassigned benefits from 2 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2925 Sycamore Dr
Ste 101A
Simi Valley, CA 93065
Phone (805) 578-9751

Practitioners & affiliated clinicians

Practitioners 2

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": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1316808777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 101A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "925-557-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 101A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "650-580-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI REGIONAL URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MASAQUEL-SANTIAGO",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-580-7253",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Dec 1, 2025; 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.