Active NPI
Jasbir S. Tiwana M.D Inc
- Internal Medicine Physician
- Simi Valley, CA
National Provider Identifier
1154633527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A105298
- Legal business name
- JASBIR S. TIWANA M.D INC
- Practice address
- 1172 Swallow LN
Simi Valley, CA 93065-3154 - Phone
- (951) 278-5590
- Fax
- (951) 272-9924
- NPI assigned
- Jul 13, 2010
- 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. Jasbir Singh Tiwana, M.D
- Title
- Ceo
- Phone
- (805) 583-4111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A105298 | CA | Primary |
Addresses
Primary practice location
1172 Swallow LN
Simi Valley, CA 93065-3154
Mailing address
2060-D E Avenida de Los Arboles Ste 765
Thousand Oaks, CA 91362-1376
Phone (805) 990-0439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2060D E Avenida de los Arboles
Thousand Oaks, CA 91362
Phone (805) 267-4890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Simi Valley, CA
- NPI 1689826661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1154633527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060-D E AVENIDA DE LOS ARBOLES STE 765",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913621376",
"telephone_number": "805-990-0439",
"fax_number": "805-512-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 SWALLOW LN",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653154",
"telephone_number": "951-278-5590",
"fax_number": "951-272-9924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASBIR S. TIWANA M.D INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-13",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "TIWANA",
"authorized_official_first_name": "JASBIR",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-583-4111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A105298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.