Organization Active NPI

Jasbir S. Tiwana M.D Inc

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1154633527
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105298 Issued in CA
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

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jasbir Singh Tiwana, M.DNPI 1689826661
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20101110001349 CA Part B Supplier - Clinic/Group Practice 6901091370 Receives reassigned benefits from 1 practitioner
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.