SIMI RADIOLOGY AND IMAGING MEDICAL GROUP NPI 1730132275

NPI Information

  • NPI: 1730132275
  • Provider Name: SIMI RADIOLOGY AND IMAGING MEDICAL GROUP
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2975 SYCAMORE DR
    SIMI VALLEY, CA
    ZIP 93065
  • Phone: (805) 955-6360

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NPI Details

SIMI RADIOLOGY AND IMAGING MEDICAL GROUP is a diagnostic radiology radiology in Simi Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SIMI RADIOLOGY AND IMAGING MEDICAL GROUP NPI is 1730132275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2975 SYCAMORE DR
SIMI VALLEY, CA
ZIP 93065-201
Phone: (805) 955-6360

The provider's authorized official is Eric Cordes .
The authorized official title is Managing Partner and has the following contact phone number (805) 955-6360.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/3/2015.

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
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HW11499AMEDICARE PIN
2ZZZ34708ZOTHERBLUE SHIELD
3ZZZ30810ZOTHERBLUE SHIELD
4HW11499MEDICARE PIN
5CO8000OTHERRAILROAD MEDICARE
6GR0050170MEDICAIDCALIFORNIA
7GR0050171MEDICAIDCALIFORNIA

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: 3/30/2025

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