Active NPI
Peter Ira Margolis, M.D.
- Internal Medicine Physician
- Thousand Oaks, CA
National Provider Identifier
1306876164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G40308
- Practice address
- 333 S Moorpark Rd
Thousand Oaks, CA 91361-1008 - Phone
- (805) 399-2146
- Fax
- (805) 399-2146
- NPI assigned
- Jul 4, 2006
- Last updated
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G40308 | CA | Primary |
Addresses
Primary practice location
333 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Mailing address
333 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 399-2146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G40308 | Other | CA | STATE LICENSE |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000980 | CA | Practitioner - Internal Medicine | 5092849398 | Practice locations: Thousand Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 379-4545
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40308 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| G40308 | CA | MD | Internal Medicine Physician |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Assisted Home Care
- Home Health Agency
- Mission Hills, CA
- NPI 1033156765
-
dba Assisted Home Care
- Home Health Agency
- Thousand Oaks, CA
- NPI 1831141845
-
dba Los Robles Hospital & Medical Center
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
-
dba Access TLC Home Health Care
- Case Manager/Care Coordinator
- San Fernando, CA
- NPI 1619045176
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1306876164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611008",
"telephone_number": "805-399-2146",
"fax_number": "805-494-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S MOORPARK RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611008",
"telephone_number": "805-399-2146",
"fax_number": "805-399-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "PETER",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-08-28",
"certification_date": "2023-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G40308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G40308",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
- Maria Manzano, NONE
- Mehdi Manzari, M.D.
- Gayle Ann Marano-Brown, LMFT
- Marc S. Elson DDS, a Professional Corporation
- Margaret Gustavson MFT
- Andrew R Marinkovich Jr., O.D.
- Mark D Suski MD a Professional Corporation
- Mark H Mazur MD & Barry Statner MD a Professional Corporation
- Mark Jude Tramo MD Apc
- Mark L Starr MD a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.