Organization Active NPI

Advanced Care Multispecialty Medical Group Apc

  • Nephrology Physician
  • Thousand Oaks, CA
National Provider Identifier
1164041422
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC
Practice address
325 Rolling Oaks Dr Ste 130
Thousand Oaks, CA 91361-1286
Phone
(805) 497-7775
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Hashim A Mapara, MDNPI 1306074927
Title
President
Phone
(718) 909-6580

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

325 Rolling Oaks Dr Ste 130
Thousand Oaks, CA 91361-1286

Mailing address

4000 Calle Tecate Ste 115
Camarillo, CA 93012-5285
Phone (805) 485-2400

Other practice location 1

227 W Janss Rd Ste 110
Thousand Oaks, CA 91360-1854
Phone (805) 496-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200812001242 CA Part B Supplier - Clinic/Group Practice 4385060086 Receives reassigned benefits from 2 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1164041422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 115",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125285",
            "telephone_number": "805-485-2400",
            "fax_number": "805-233-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR STE 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611286",
            "telephone_number": "805-497-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 W Janss Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601854",
            "country_code": "US",
            "telephone_number": "805-496-6051",
            "fax_number": "805-496-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MAPARA",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-909-6580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 6, 2025; 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.