Active NPI
Mai Brooks MD a Medical Corporation
- Surgical Oncology Physician
- Thousand Oaks, CA
National Provider Identifier
1235384702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- G81443
- Legal business name
- MAI BROOKS MD A MEDICAL CORPORATION
- Practice address
- 2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980 - Phone
- (805) 379-4677
- Fax
- (805) 495-1829
- NPI assigned
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mai Brooks, MD
- Title
- Physician
- Phone
- (805) 379-4677
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | G81443 | CA | Primary |
Addresses
Primary practice location
2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980
Mailing address
2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980
Phone (805) 379-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Oncology Physician
- Thousand Oaks, CA
- NPI 1952315640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1235384702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 LYNN RD",
"address_2": "SUITE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601980",
"telephone_number": "805-379-4677",
"fax_number": "805-495-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 LYNN RD",
"address_2": "SUITE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601980",
"telephone_number": "805-379-4677",
"fax_number": "805-495-1829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAI BROOKS MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "MAI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "805-379-4677",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "G81443",
"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 Nov 24, 2008; 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.