Individual provider Active NPI

Munira Husain, M.D.

  • Adult Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1184856460
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A101214 Issued in CA
Practice address
620 E Janss Rd
Thousand Oaks Urgent Care
Thousand Oaks, CA 91360
Phone
(805) 495-6866
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A101214 CA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A101214 CA

Addresses

Primary practice location

620 E Janss Rd
Thousand Oaks Urgent Care
Thousand Oaks, CA 91360

Mailing address

1710 N Moorpark Rd
Thousand Oaks, CA 91360-5133
Phone (805) 405-4242

Other identifiers 1

IdentifierTypeStateIssuer
A101214OtherCATHE MEDICAL BAORD OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000144 CA Practitioner - Family PracticePractitioner - Other (Physician) 9537337357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Health Group IncGroup PAC ID 4587967575, 4 clinicians

Practice addresses (Care Compare)

55 Rolling Oaks Dr
Suite 100
Thousand Oaks, CA 91361-1010
Phone (805) 499-4446

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101214CAMDClinical Social Worker
A101214CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Health Group Inc CurrentSince Oct 20, 2022 Accepting new patients
Oaks Internal Medicine, a Professional Medical Corporation CurrentSince Sep 1, 2014 Accepting new patients
Lawrence P. McAdam, M.D., Medical Corporation Past Accepting new patients

Locations

3295 Old Conejo Rd
Newbury Park, CA 91320
Phone (805) 375-6000

1980 Sequoia Ave
Simi Valley, CA 93063
Phone (805) 306-0070

55 Rolling Oaks Dr
Ste 100
Thousand Oaks, CA 91361
Phone (805) 499-4446

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1184856460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605133",
            "telephone_number": "805-405-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E JANSS RD",
            "address_2": "THOUSAND OAKS URGENT CARE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-495-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "MUNIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A101214",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A101214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BAORD OF CA",
            "identifier": "A101214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.