Organization Active NPI

Brooks Doberne Pattanachinda a Med Corp

Doing business as Simi Pediatrics

  • Pediatrics Physician
  • Simi Valley, CA
National Provider Identifier
1457462525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.