Simi Family Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54086 Issued in CA

Legal business name

SIMI FAMILY MEDICAL GROUP

Practice address

2750 Sycamore Dr
Simi Valley, CA 93065-1502

Phone

(805) 527-9140

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Takeda, MD

Title

Director

Phone

(805) 527-9140

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Vijay K Garg, MD

  • Cardiovascular Disease Physician
  • Simi Valley, CA
  • NPI 1790708782
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689896375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651502",
            "telephone_number": "805-527-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651502",
            "telephone_number": "805-527-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAKEDA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-527-9140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simi Care Pharmacy, Inc. (Simi Care Pharmacy)
• Simi Center Apollo High School
• Simi Childrens Dental Group
• Simi Dermatologic Medical Center, Inc
• Simi Dialysis Center, LLC
• Simi Health Center a Medical Corp
• Simi Hills Home Care Center LLC
• Simi Medical Group, Inc
• Simi Oaks Inc.
• Simi Obstetrics & Gynecology Medical Group a Medical Corp.

• 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 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.