Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eastern Ventura Medical Group, Inc

Organization Family Medicine Physician · NPI 1417900788

Eastern Ventura Medical Group, Inc provides Family Medicine Physician services in Simi Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone: (805) 583-5555
Fax: (805) 583-5554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)

Record details

NPI number1417900788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denice Ruscigno — Administrator · (805) 583-5555
Other names Med Center Medical Center
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1980 Sequoia Ave, Simi Valley, CA 93063-3167

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