Active NPI
Channah Carmi, PA-C
- Physician Assistant
- Thousand Oaks, CA
National Provider Identifier
1215789730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1209921
- Practice address
- 250 Fairview Rd
Thousand Oaks, CA 91361-2456 - Phone
- (805) 494-1233
- NPI assigned
- Apr 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1209921 | CA | Primary |
Addresses
Primary practice location
250 Fairview Rd
Thousand Oaks, CA 91361-2456
Mailing address
12536 Fraser Ave
Granada Hills, CA 91344-1321
Phone (818) 294-6966
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209921 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1215789730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12536 FRASER AVE",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913441321",
"telephone_number": "818-294-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FAIRVIEW RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913612456",
"telephone_number": "805-494-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMI",
"first_name": "CHANNAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "1209921",
"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 Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.