Simicare Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79902

Legal business name

SIMICARE MEDICAL GROUP INC

Practice address

1164 Swallow LN
Simi Valley, CA 93065-3154

Phone

(805) 583-8000

Fax

(805) 583-8001

NPI assigned

Mar 5, 2014

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mojgan Hosseini SadeghiNPI 1942318902

Title

President

Phone

(805) 583-8000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mojgan Sadeghi, MD

  • Family Medicine Physician
  • Simi Valley, CA
  • NPI 1942318902
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Carolina Chavez, PAC

  • Physician Assistant
  • Lancaster, CA
  • NPI 1952576191
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1538584263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-583-8000",
            "fax_number": "805-583-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-583-8000",
            "fax_number": "805-583-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMICARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_middle_name": "HOSSEINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-583-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "A79902",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simi Valley Surgery Center Inc
• Simi Valley Unified School District
• Simi Valley Urgent Care Inc
• Simi Womens Center Inc
• Simi Workplace Multi-Specialty Clinic,Inc
• Ana Simion
• Simis Home Health Care
• Marlee Robin Simon, LPCC, MT-BC
• Aberdeen Marie Simpson
• Tracy Frieda Sims

• Family Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.