Active NPI
Edoba Asemota
- Private Vehicle
- Thousand Oaks, CA
National Provider Identifier
1124630496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- A6116572
- Practice address
- 2019 Los Feliz Dr
Thousand Oaks, CA 91362-3070 - Phone
- (805) 341-1073
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | A6116572 | CA | Primary |
Addresses
Primary practice location
2019 Los Feliz Dr
Thousand Oaks, CA 91362-3070
Mailing address
2019 Los Feliz Dr
Thousand Oaks, CA 91362-3070
Phone (805) 341-1073
Other names 1
- Edoba Asemota
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A6116572 | CA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1124630496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 LOS FELIZ DR",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913623070",
"telephone_number": "805-341-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 LOS FELIZ DR",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913623070",
"telephone_number": "805-341-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASEMOTA",
"first_name": "EDOBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CA",
"license": "A6116572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDOBA",
"last_name": "ASEMOTA",
"code": "2",
"type": "Professional Name"
}
]
}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 Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.