Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastern Ventura Medical Group, Inc

Organization Family Medicine Physician · NPI 1417900788

Eastern Ventura Medical Group, Inc is a Family Medicine Physician 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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