Oaks Internal Medicine, a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A65725 Issued in CA

Legal business name

OAKS INTERNAL MEDICINE, A PROFESSIONAL MEDICAL CORPORATION

Practice address

3295 Old Conejo Road
Suite 201
Newbury Park, CA 91320-2152

Phone

(805) 375-6000

Fax

(805) 375-0011

NPI assigned

Dec 9, 2010

Last updated

Nov 2, 2011By 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

Dr. Asra S. I. Siddiqui, M.D.NPI 1649275397

Title

President

Phone

(805) 375-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asra Suhel Iqbal Siddiqui, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1649275397
  Medicare reassignment Authorized official
• Munira Husain, M.D.

  • Adult Medicine Physician
  • Thousand Oaks, CA
  • NPI 1184856460
  Medicare reassignment NPD

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1306149562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 OLD CONEJO RD",
            "address_2": "SUITE 201",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202152",
            "telephone_number": "805-375-6000",
            "fax_number": "805-375-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 OLD CONEJO ROAD",
            "address_2": "SUITE 201",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202152",
            "telephone_number": "805-375-6000",
            "fax_number": "805-375-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS INTERNAL MEDICINE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ASRA",
        "authorized_official_middle_name": "S. I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-375-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eamon Joseph O'Hara, RADT
• Patricia Omoto
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• Ana Judith Orantes
• Nancy Ortega
• Donna M Pachorek, M.D.

• Internal Medicine Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.