Individual provider Active NPI

Amy A Nabi, DDS

  • General Practice Physician
  • Thousand Oaks, CA
National Provider Identifier
1255633343
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34121 Issued in CA
Practice address
394 Lombard St
Thousand Oaks, CA 91360-5808
Phone
(805) 379-5222
Fax
(805) 495-0193
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34121 CA Primary

Addresses

Primary practice location

394 Lombard St
Thousand Oaks, CA 91360-5808

Mailing address

394 Lombard St
Thousand Oaks, CA 91360-5808
Phone (805) 379-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001923 CA Order and Referring Only - DentistPractitioner - Dentist 0143534222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1255633343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605808",
            "telephone_number": "805-379-5222",
            "fax_number": "805-495-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605808",
            "telephone_number": "805-379-5222",
            "fax_number": "805-495-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABI",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "34121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.