Healthcare Provider Details

I. General information

NPI: 1275485385
Provider Name (Legal Business Name): SIMI VALLEY EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 SYCAMORE DR EMERGENCY DEPARTMENT
SIMI VALLEY CA
93065-1201
US

IV. Provider business mailing address

1509 WILSON TER EMERGENCY DEPARTMENT
GLENDALE CA
91206-4007
US

V. Phone/Fax

Practice location:
  • Phone: 818-863-4366
  • Fax:
Mailing address:
  • Phone: 818-863-4366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY CARDILLO
Title or Position: CEO
Credential: MD
Phone: 310-488-2830