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

Phs Medical Inc

Organization Acute Care Nurse Practitioner · NPI 1508379553

Phs Medical Inc is an Acute Care Nurse Practitioner in Simi Valley, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5268 Huckleberry Oak St
Simi Valley, CA 93063-4503
Phone: (805) 208-0434
Fax: (805) 578-2371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence NP15005 (CA)

Record details

NPI number1508379553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Stacy — Ceo · (805) 208-0434
NPI enumeratedNovember 13, 2017
Last updated in NPPESNovember 13, 2017
Mailing address5268 Huckleberry Oak St, Simi Valley, CA 93063-4503

Other providers in Simi Valley