Active NPI
VA Healthcare System
- Urgent Care Clinic/Center
- Simi Valley, CA
National Provider Identifier
1376887331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 658956
- Legal business name
- VA HEALTHCARE SYSTEM
- Practice address
- 3009 Waukegan Ave
Simi Valley, CA 93063-1622 - Phone
- (310) 493-7645
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leslie Amanda Langley, FNP
- Title
- RN
- Phone
- (310) 478-3711
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 658956 | CA | Primary |
Addresses
Primary practice location
3009 Waukegan Ave
Simi Valley, CA 93063-1622
Mailing address
3009 Waukegan Ave
Simi Valley, CA 93063-1622
Phone (310) 493-7645
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Hollywood, CA
- NPI 1255779120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1376887331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 WAUKEGAN AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930631622",
"telephone_number": "310-493-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 WAUKEGAN AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930631622",
"telephone_number": "310-493-7645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "LANGLEY",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "AMANDA",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "310-478-3711",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "658956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
- United Hospice Care
- United Hospice, Inc.
- United Toxicology Management, LLC
- Universal Preventive Home Health Care, Inc
- University Foot and Ankle Institute a Podiatric Surgical Center
- Niloofar Vaghar, PHARMACIST
- Virginia T. Valadka, M.D.
- Kayla Mari Vale Cruz, PHARMD
- Valencia Medical Inc
- Valencia Relationship Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.