Active NPI
Brooks Doberne Pattanachinda a Med Corp
Doing business as Simi Pediatrics
- Pediatrics Physician
- Simi Valley, CA
National Provider Identifier
1457462525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BROOKS DOBERNE PATTANACHINDA A MED CORP
- Doing business as
- Simi Pediatrics
- Practice address
- 2950 N Sycamore Dr
#200
Simi Valley, CA 93065-1210 - Phone
- (805) 527-9400
- Fax
- (805) 582-1344
- NPI assigned
- Aug 31, 2006
- 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
- Dr. Stewart I Brooks, MD
- Title
- Owner Partner Treasurer
- Phone
- (805) 527-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2950 N Sycamore Dr
#200
Simi Valley, CA 93065-1210
Mailing address
2950 N Sycamore Dr
#200
Simi Valley, CA 93065-1210
Phone (805) 527-9400
Other names 1
- Simi Pediatrics
National Provider Directory
National Provider DirectoryLocations
2950 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (661) 705-9706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Playa Vista, CA
- NPI 1609180843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457462525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 N SYCAMORE DR",
"address_2": "#200",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651210",
"telephone_number": "805-527-9400",
"fax_number": "805-582-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N SYCAMORE DR",
"address_2": "#200",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651210",
"telephone_number": "805-527-9400",
"fax_number": "805-582-1344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS DOBERNE PATTANACHINDA A MED CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER PARTNER TREASURER",
"authorized_official_telephone_number": "805-527-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Simi Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Simi Valley, CA
- Ashley Michelle Brett, LMFT
- Bright Life Detox & Recovery
- Bright Way Care Hospice, Inc.
- Micaela Romina Brikman Navarro
- Bonnie Jean Broek, RDN
- Renee Brooks, M.A., L.M.F.T 112480
- Stewart I Brooks, MD
- Brooks, Tashman, Medical Corporation (Simi Pediatric Partners)
- Carole Lee Brookshire, MFT 115869
- Nicole Christine Brown, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.