Age Smart Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AGE SMART MEDICAL CORPORATION

Practice address

3435 E Thousand Oaks Blvd
Thousand Oaks, CA 91359-7901

Phone

(818) 439-2160

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Harendra Ipalawatte, MDNPI 1326788142

Title

Owner

Phone

(818) 439-2160

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harendra Ipalawatte, MD

  • Internal Medicine Physician
  • Thousand Oaks, CA
  • NPI 1326788142
  NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1235921933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913597901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913597901",
            "telephone_number": "818-439-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE SMART MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "IPALAWATTE",
        "authorized_official_first_name": "HARENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-439-2160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.