Ivonne Dianna Pambakian

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C6652440 Issued in CA

Practice address

275 E Hillcrest Dr Ste 160-121
Thousand Oaks, CA 91360-5827

Phone

(805) 208-6718

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paradise Plus Care Transportation, Inc

  • Driver
  • Thousand Oaks, CA
  • NPI 1457297848
  NPD

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1336748763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E HILLCREST DR STE 160-121",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605827",
            "telephone_number": "805-208-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E HILLCREST DR STE 160-121",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605827",
            "telephone_number": "805-208-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMBAKIAN",
        "first_name": "IVONNE",
        "middle_name": "DIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "C6652440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Palaski, RNP
• Juliette Anita Hidemi Palazzolo
• Matthew Pall, NRP, CP-C
• Ethan Charles Palmer
• Richard Marley Palmer, D.C
• Rachel Pancake, LMFT
• Rebecca Pancake
• Lorand Panczel
• Shivam Pandya, MD
• Jenna Mary Pantelas, M.A., BCBA

• Non-emergency Medical Transport (VAN) in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.