FREE CLINIC OF SIMI VALLEY (NPI# 1710438197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710438197 |
| Entity Type | Organization |
| Organization Name | FREE CLINIC OF SIMI VALLEY |
| Practice Address |
2060 Tapo St Simi Valley CA 93063-3417 |
| Practice Telephone | 8055223733 |
| Mailing Telephone | 8055223733 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MR. FRED BAUERMEISTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8055223733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 050000088 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801127162 | Free Clinic of Simi Valley | Family Medicine | 2060 Tapo St., Simi Valley, CA 93063-3417 | 2010-01-26 |
| Street Address |
2060 TAPO ST |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972836047 | Robert L Deamer | Pharmacist | 2060 Tapo St, Simi Valley, CA 93063-3417 | 2009-09-08 |
| 1952891194 | Jennifer Haigh | Counselor | 2060 Tapo St, Simi Valley, CA 93063-3417 | 2018-05-14 |
| 1992245971 | Soo Ahn | Pharmacist | 2060 Tapo St, Simi Valley, CA 93063-3417 | 2017-02-24 |
| 1992131262 | Michael Haddad | Dentist | 2060 Tapo St, Simi Valley, CA 93063-3417 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023209475 | Steven Cha | Voluntary or Charitable | 238 Heath Meadow Ct, Simi Valley, CA 93065-7115 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565334 | James Downs | Voluntary or Charitable | 1330 Clinton Ave, Alameda, CA 94501-4006 | 2020-07-16 |
| 1689295214 | West Coast Equity Builder LLC | Voluntary or Charitable | 700 E Redlands Blvd # U-748, Redlands, CA 92373-6109 | 2020-05-05 |
| 1114555463 | Project Heal of Santa Barbara County | Voluntary or Charitable | 351 Paseo Nuevo Fl 2, Santa Barbara, CA 93101-3382 | 2020-03-31 |
| 1407406630 | Planned Parenthood of Pasadena, Inc. | Voluntary or Charitable | 5903 N Figueroa St, Highland Park, CA 90042-4229 | 2019-09-19 |
| 1780237180 | Adapt Movement Inc | Voluntary or Charitable | 2732 Loker Ave W, Carlsbad, CA 92010-6603 | 2019-07-24 |
| 1598226870 | James Ward Delameter | Voluntary or Charitable | 303 Dry Creek Rd, Healdsburg, CA 95448-9705 | 2019-03-28 |
| 1639635154 | Love Focus International Association Lfia | Voluntary or Charitable | 372 Buena Vista Ct, Merced, CA 95348-3033 | 2019-02-20 |
| 1699242495 | Sow A Seed Community Foundation | Voluntary or Charitable | 42 W 8th St, Tracy, CA 95376-4123 | 2018-10-30 |
| 1467927855 | Priscilla Hebert | Voluntary or Charitable | 1488 Sunset Cliffs Blvd, San Diego, CA 92107-3848 | 2018-10-11 |
| 1164907234 | Impact Recovery & Psychotherapy | Voluntary or Charitable | 28202 Cabot Rd Ste 373, Laguna Niguel, CA 92677-1222 | 2018-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
Please comment or provide details below to improve the information on FREE CLINIC OF SIMI VALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.