Organization Active NPI

VA Healthcare System

  • Urgent Care Clinic/Center
  • Simi Valley, CA
National Provider Identifier
1376887331
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
658956 Issued in CA
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

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mrs. Leslie Amanda Langley, FNPNPI 1255779120
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.