NPIMap

Organization Active NPI

Humanity Medical Group Inc.

  • Hematology & Oncology Physician
  • Simi Valley, CA
National Provider Identifier
1992407381
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
HUMANITY MEDICAL GROUP INC.
Practice address
1720 E Los Angeles Ave Ste 231
Simi Valley, CA 93065-5813
Phone
(805) 980-7574
Fax
(805) 426-8781
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Ana Root
Title
Manager
Phone
(562) 521-3624

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1720 E Los Angeles Ave Ste 231
Simi Valley, CA 93065-5813

Mailing address

1720 E Los Angeles Ave Ste 231
Simi Valley, CA 93065-5813
Phone (805) 980-7574

Other names 1

  • HUMANITY MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115001996 CA Part B Supplier - Clinic/Group Practice 9638526452 Receives reassigned benefits from 6 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

1720 E Los Angeles Ave
Ste 231
Simi Valley, CA 93065
Phone 8054565884 ext. 103

Practitioners & affiliated clinicians

Practitioners 6

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1992407381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 231",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655813",
            "telephone_number": "805-980-7574",
            "fax_number": "805-426-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 231",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655813",
            "telephone_number": "805-980-7574",
            "fax_number": "805-426-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-521-3624"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUMANITY MEDICAL GROUP",
            "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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.