| Med Center Medical Center | |
|
1980 Sequoia Ave Simi Valley CA 93063-3167 | |
| (805) 583-5555 | |
| (805) 583-5554 |
| Full Name | Med Center Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1980 Sequoia Ave, Simi Valley, California |
| Authorized Official Name and Position | Denice Ruscigno (ADMINISTRATOR) |
| Authorized Official Contact | 8055835555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Center Medical Center 1980 Sequoia Ave Simi Valley CA 93063-3167 Ph: (805) 583-5555 | Med Center Medical Center 1980 Sequoia Ave Simi Valley CA 93063-3167 Ph: (805) 583-5555 |
| NPI Number | 1417900788 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4981628708 |
|---|---|
| Medicare Enrollment ID | O20060607000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417900788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Beverley G Kornder |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477583110 PECOS PAC ID: 5991865198 Enrollment ID: I20081202000529 |
| Provider Name | Munira Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184856460 PECOS PAC ID: 9537337357 Enrollment ID: I20110722000144 |
| Provider Name | Ingrid Sharpe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144619784 PECOS PAC ID: 9638495625 Enrollment ID: I20150310002509 |
| Provider Name | Donald Schiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982121364 PECOS PAC ID: 7012277460 Enrollment ID: I20180205001541 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447967682 PECOS PAC ID: 0042678740 Enrollment ID: I20230627002360 |
Pulmonary Critical Care Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 N Sycamore Dr, Suite # 306, Simi Valley, CA 93065 Phone: 805-583-4111 Fax: 805-583-2041 |
Abdul W Nawabi MD, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065 Phone: 805-527-6424 Fax: 805-522-0115 |
Lakeside Community Healthcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Alamo St, Suite 100, Simi Valley, CA 93063 Phone: 805-522-6577 Fax: 805-522-7030 |
North Valley G.I. Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1156 Swallow Ln, Simi Valley, CA 93065 Phone: 805-526-6016 Fax: 805-791-3992 |
Daniel Ghiyam M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2840 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-526-8360 |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Alamo St # 201, Simi Valley, CA 93065 Phone: 805-578-9620 |