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Mayra Alejandra Larissa Poggio

Physician • Simi Valley, CA

Active NPI 1336673409 Individual Practitioner Female Practitioner
Practice location in NPPES

160 W Cochran St
Simi Valley, CA 930656215

Call 1805583227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

160 W Cochran St

Simi Valley, CA 930656215

Telephone 1805583227
Organization at the Same NPPES Address or Phone
Kids Connections Developmental Therapy Center Facility NPI 1730616400

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-12
Public Health or Welfare Primary Specialty

NUCC Taxonomy Code: 251K00000X

License # reported to NPPES CA OT17222
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
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Career & Practice History

NPI enumerated April 17, 2017.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2017 to November 2026.

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NPI Administrative Meta

NPI Number: 1336673409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: October 12, 2021
Sole Proprietor: Yes

Mailing Address

160 W Cochran St

Simi Valley, CA 930656215

Phone: 1805583227

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.