Organization Active NPI

Edu Advanced Nursing, Inc

Doing business as Resource Medical Center, LLC

  • Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1942078332
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
EDU ADVANCED NURSING, INC
Doing business as
Resource Medical Center, LLC
Practice address
2845 Cochran St
Simi Valley, CA 93065-2796
Phone
(818) 835-7355
NPI assigned
Dec 14, 2023
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mikey ThanteraphongNPI 1437795333
Title
Manager
Phone
(818) 835-7355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

2845 Cochran St
Simi Valley, CA 93065-2796

Mailing address

PO Box 336
Agoura Hills, CA 91376-0336
Phone (818) 835-7355

Other names 1

  • Resource Medical Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

601 E Daily Dr
Ste 206
Camarillo, CA 93010

3175 Old Conejo Rd
Ste 200
Newbury Park, CA 91320

2845 Cochran St
Simi Valley, CA 93065
Phone (818) 835-7355

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1942078332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760336",
            "telephone_number": "818-835-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652796",
            "telephone_number": "818-835-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDU ADVANCED NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "THANTERAPHONG",
        "authorized_official_first_name": "MIKEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-835-7355"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resource Medical Center, LLC",
            "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 Sep 25, 2025; 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.