Neeta Ambe-Crain, M.D.
Individual provider Active NPI Specialist · Westlake Village, CA
NPI 1093832255 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1093832255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- G53593 (CA)
- Practice address
- 1250 La Venta Dr Ste112
Westlake Village, CA 91361 - Phone
- (805) 371-0774
- Fax
- (805) 371-0773
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53593 | CA | MD | Specialist |
| 53593 | CA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G53593 | CA | Yes |
Addresses
Primary practice location
1250 La Venta Dr Ste112
Westlake Village, CA 91361
Mailing address
1250 La Venta Dr Ste 112
Westlake Village, CA 91361-3756
Phone (805) 371-0774
Other providers in Westlake Village, CA
- Alvin G. Pagan, D.D.S.
- Amanda Prince Marriage and Family Therapy Inc
- Amanita RX, Inc.
- Amanita RX, Inc.
- Maria Amato
- American Dream Home Health Care, Inc.
- Laila Amini
- Sousan Amiri
- Amrit Healthcare Services Inc
- Sidharth Ravi Anand
All providers in Westlake Village, CA · Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.