Eastern Ventura Medical Group, Inc.
NPI 1417900788 · Family Medicine Physician · Simi Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastern Ventura Medical Group, Inc. is a Family Medicine Physician organization in Simi Valley, CA (NPI 1417900788).
Provider details
- NPI number
- 1417900788
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denice Ruscigno, Administrator(805) 583-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Med Center Medical Center
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2022-07-21
Frequently asked questions
- What is Eastern Ventura Medical Group, Inc.'s NPI number?
- Eastern Ventura Medical Group, Inc.'s National Provider Identifier (NPI) is 1417900788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Ventura Medical Group, Inc.?
- Eastern Ventura Medical Group, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eastern Ventura Medical Group, Inc. located?
- Eastern Ventura Medical Group, Inc.'s practice location on file with NPPES is 1980 Sequoia Ave, Simi Valley, CA 93063-3167.
- What is Eastern Ventura Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eastern Ventura Medical Group, Inc. is (805) 583-5555.
- Does Eastern Ventura Medical Group, Inc. accept Medicare?
- Eastern Ventura Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastern Ventura Medical Group, Inc.?
- The authorized official listed on Eastern Ventura Medical Group, Inc.'s NPPES record is Denice Ruscigno, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Ventura Medical Group, Inc.'s NPI active?
- Yes — Eastern Ventura Medical Group, Inc.'s NPI (1417900788) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.