Organization Active NPI

California Institute of Neuroscience Inc

  • Vascular Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1215593652
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
Legal business name
CALIFORNIA INSTITUTE OF NEUROSCIENCE INC
Practice address
2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone
(805) 795-7656
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Irina Muravyeva
Title
Administrative Director
Phone
(805) 795-7565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0301X
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Mailing address

3435 E Thousand Oaks Blvd Unit 3789
Westlake Village, CA 91359-7930
Phone (805) 795-7656

National Provider Directory

National Provider Directory

Locations

3435 E Thousand Oaks Blvd
Unit 3789
Westlake Village, CA 91359

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": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1215593652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD UNIT 3789",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913597930",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-795-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INSTITUTE OF NEUROSCIENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "MURAVYEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "805-795-7565"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.