Ag Autism Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AG AUTISM CARE LLC

Practice address

1362 E Thousand Oaks Blvd Ste 101
Thousand Oaks, CA 91362-2819

Phone

(818) 338-2834

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anu Goyal

Title

Director

Phone

(818) 338-2834

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1235763459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 E THOUSAND OAKS BLVD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 E THOUSAND OAKS BLVD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622819",
            "telephone_number": "818-338-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG AUTISM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "ANU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-338-2834"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.