COMMUNITY MEDICAL GROUP INC (NPI# 1235207325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235207325 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL GROUP INC |
| Practice Address |
2950 No Sycamore Drive Suite 300 Simi Valley CA 93065 |
| Mailing Address |
30125 Agoura Rd Suite 200 Agoura Hills CA 91301-4337 |
| Practice Telephone | 8055208999 |
| Practice Fax Number | 8055267092 |
| Mailing Telephone | 8187079603 |
| Mailing Fax Number | 8187071276 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BERNARD SIEGEL (PRESIDENT) |
| Authorized Official Telephone | 8187079603 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134438146 | Community Medical Group Inc | Legal Medicine | 9477 N Territorial Rd Ste 100, Dexter, MI 48130-8583 | 2010-09-26 |
| 1053489146 | Community Medical Group Inc | Family Medicine | 612 E Janss Road, Thousand Oaks, CA 91360 | 2006-11-30 |
| 1144398231 | Community Medical Group Inc | Family Medicine | 3605 Alamo Street, Suite 100, Simi Valley, CA 93063 | 2006-11-30 |
| Street Address |
2950 NO SYCAMORE DRIVE SUITE 300 |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1639717622 | Adventist Health Physicians Network | Family Medicine | 135 Macaw Ln Ste 210, Simi Valley, CA 93065-3153 | 2019-12-20 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1700439817 | Atc Health Services Inc. | Family Medicine | 1925 Royal Ave Ste B, Simi Valley, CA 93065-4619 | 2019-07-17 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1750743530 | Chelsey Colleen Kahanowitch | Family Medicine | 2750 Sycamore Dr Ste 202, Simi Valley, CA 93065-1500 | 2016-03-22 |
| 1235576612 | Maeve W Lin | Family Medicine | 2655 First St, #325, Simi Valley, CA 93065-1548 | 2013-05-26 |
| 1932424926 | Richard David Price Sr. | Family Medicine | 374 Laguna Way, Req, Simi Valley, CA 93065-5315 | 2010-04-01 |
| 1801127162 | Free Clinic of Simi Valley | Family Medicine | 2060 Tapo St., Simi Valley, CA 93063-3417 | 2010-01-26 |
| 1477886539 | Jeffrey M. Caputo | Family Medicine | 2655 First Street Ste 325, Simi Valley, CA 93065-1548 | 2009-09-08 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
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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.