Organization Active NPI

Simi Workplace Multi-Specialty Clinic,Inc

  • General Practice Physician
  • Simi Valley, CA
National Provider Identifier
1487800645
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SIMI WORKPLACE MULTI-SPECIALTY CLINIC,INC
Practice address
2755 Alamo St # 100
Simi Valley, CA 93065-1313
Phone
(805) 955-8160
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Sadayappa Durairaj, M.D.
Title
Predident
Phone
(818) 504-4700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X CA
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CA Primary

Addresses

Primary practice location

2755 Alamo St # 100
Simi Valley, CA 93065-1313

Mailing address

2755 Alamo St # 100
Simi Valley, CA 93065-1313
Phone (805) 955-8160

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1487800645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST # 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651313",
            "telephone_number": "805-955-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST # 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651313",
            "telephone_number": "805-955-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI WORKPLACE MULTI-SPECIALTY CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "DURAIRAJ",
        "authorized_official_first_name": "SADAYAPPA",
        "authorized_official_title_or_position": "PREDIDENT",
        "authorized_official_telephone_number": "818-504-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "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 Aug 8, 2008; 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.