PHS MEDICAL INC NPI 1508379553

NPI Information

  • NPI: 1508379553
  • Provider Name: PHS MEDICAL INC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • Address: 5268 HUCKLEBERRY OAK ST
    SIMI VALLEY, CA
    ZIP 93063
  • Phone: (805) 208-0434

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NPI Details

PHS MEDICAL INC is an acute care nurse practitioner in Simi Valley, CA. PHS MEDICAL INC NPI is 1508379553. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5268 HUCKLEBERRY OAK ST
SIMI VALLEY, CA
ZIP 93063-503
Phone: (805) 208-0434
Fax: (805) 578-2371

The provider's authorized official is Timothy James Stacy .
The authorized official title is Ceo and has the following contact phone number (805) 208-0434.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 11/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareNP15005CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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