Organization Active NPI

University Bariatrics, a Professional Corporation

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1083952337
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A68045 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20130520000225 CA Part B Supplier - Clinic/Group Practice 9133366784 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.