Unknown Individual – Family Medicine Physician, NPI 1922077924
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
620, East Janss Road, Thousand Oaks, Ventura County, California, 91360, United States
THOUSAND OAKS, CA 913605113
Phone: (805) 495-6866
Type: Location
6632, Buttonwood Avenue, Oak Park, Ventura County, California, 91377, United States
OAK PARK, CA 913771325
Phone: (818) 735-0658
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA |
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