Active NPI
University Bariatrics, a Professional Corporation
- Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1083952337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A68045
- Legal business name
- UNIVERSITY BARIATRICS, A PROFESSIONAL CORPORATION
- Practice address
- 425 Haaland Dr
#203
Thousand Oaks, CA 91361-5229 - Phone
- (805) 379-9796
- Fax
- (805) 379-6700
- NPI assigned
- Jan 22, 2013
- Last updated
- Oct 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amir Mehran, MD
- Title
- Owner
- Phone
- (805) 379-9796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A68045 | CA | Primary |
Addresses
Primary practice location
425 Haaland Dr
#203
Thousand Oaks, CA 91361-5229
Mailing address
23679 Calabasas Rd
Suite 1072
Calabasas, CA 91302-1502
Phone (805) 379-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8631 W 3rd St
#1015E
Los Angeles, CA 90048
Phone (310) 652-4472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Thousand Oaks, CA
- NPI 1154343242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507680000000",
"number": "1083952337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23679 CALABASAS RD",
"address_2": "SUITE 1072",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021502",
"telephone_number": "805-379-9796",
"fax_number": "805-379-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HAALAND DR",
"address_2": "#203",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913615229",
"telephone_number": "805-379-9796",
"fax_number": "805-379-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY BARIATRICS, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-22",
"last_updated": "2017-10-11",
"status": "A",
"authorized_official_last_name": "MEHRAN",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-379-9796",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A68045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.