Individual provider Active NPI

Dina Naguib Bedwani

  • Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1184008641
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
304 Scarborough St
Thousand Oaks, CA 91361
Phone
(805) 338-6077
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

304 Scarborough St
Thousand Oaks, CA 91361

Mailing address

304 Scarborough St
Thousand Oaks, CA 91361-1346
Phone (805) 338-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald H Chochinov MD Inc Current Accepting new patients
La Mer Psychiatric Medical Group, Inc. PastSince Jan 1, 2003 Accepting new patients

Locations

3655 W 5th St
Oxnard, CA 93030
Phone (805) 667-3909

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: dinabedwani@choc.allscriptsdirect.net
  • Direct secure messaging: dina.bedwani.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1184008641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SCARBOROUGH ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611346",
            "telephone_number": "805-338-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SCARBOROUGH ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-338-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWANI",
        "first_name": "DINA",
        "middle_name": "NAGUIB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.