SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES (NPI# 1891893004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891893004 |
| Entity Type | Organization |
| Organization Name | SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES |
| Practice Address |
14124 Foothill Blvd Sylmar CA 91342-8049 |
| Practice Telephone | 8183671012 |
| Mailing Telephone | 8183671012 |
| Mailing Fax Number | 8183642909 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | DR. MUNI NANJUNDA REDDY (SR. PARTNER) |
| Authorized Official Telephone | 8183671012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A379820 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275633695 | Simi San Fernando Valley Urology Associates | Specialist | 14901 Rinaldi St, Suite 205, Mission Hills, CA 91345-1204 | 2006-09-25 |
| 1184724502 | Simi San Fernando Valley Urology Associates | Specialist | 2190 Lynn Rd, Suite 290, Thousand Oaks, CA 91360-1980 | 2006-09-25 |
| 1023085271 | Simi San Fernando Valley Urology Associates | Specialist | 2925 Sycamore Dr, Suite 103, Simi Valley, CA 93065-1207 | 2006-03-07 |
| Street Address |
14124 FOOTHILL BLVD |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460317 | Sayre Medical Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2005-10-07 |
| 1831556919 | Jennifer Nicole Aguilar | Registered Nurse | 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342-8049 | 2016-01-21 |
| 1730585308 | Kristin Ayuste | Nurse Practitioner | 14124 Foothill Blvd, Suite 100, Sylmar, CA 91342-8049 | 2014-11-10 |
| 1730392465 | Vasan, Ragachari S. M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2007-05-08 |
| 1578775722 | Sauk, Min M.d. | Surgery | 14124 Foothill Blvd, Sylmar, CA 91342 | 2007-05-03 |
| 1588876726 | Chetty, Nagaraj M. M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342 | 2007-05-03 |
| 1891907077 | Thompson, Robert E. M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342 | 2007-05-03 |
| 1528281615 | Leila P Saedi | Dentist | 14124 Foothill Blvd, Suite 103, Sylmar, CA 91342-8049 | 2007-04-10 |
| 1982723276 | J Nathan Rubin M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2007-03-28 |
| 1669598058 | Lad E. Rubaum M.d. | Otolaryngology | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188629 | Jason P Lee | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2017-04-14 |
| 1831589001 | Maria-teresa Talatala | Specialist | 12267 Windmere Ave, Sylmar, CA 91342-5157 | 2015-01-27 |
| 1427113463 | Mid City Associates Medical Group | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| 1184185787 | Jonathan Daniel Gomez | Specialist | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2019-03-27 |
| 1306306584 | Joshua Finley | Specialist | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2019-03-22 |
| 1790263101 | Andrea Birnbaum | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2018-07-30 |
| 1063886869 | Jacob Alexander Davidson | Specialist | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2015-11-18 |
| 1174726954 | Roslyn Mianglee Chaisanguanthum | Specialist | 14445 Olive View Dr, Room 2b-182, Sylmar, CA 91342-1437 | 2007-06-07 |
| 1013072073 | Alvin Chin | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| 1134165467 | Stanley Kwan Dea | Specialist | 14445 Olive View Dr, Room 2b-182, Sylmar, CA 91342-1437 | 2006-06-22 |
| Find all providers in SYLMAR | ||||
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| 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.