Organization Active NPI

Amuzie Medical Corp

  • Specialist
  • Thousand Oaks, CA
National Provider Identifier
1396984654
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G27773 Issued in CA
Legal business name
AMUZIE MEDICAL CORP
Practice address
2230 Lynn Rd
Suite 310
Thousand Oaks, CA 91360-1901
Phone
(805) 371-0647
Fax
(805) 371-0649
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Ifeanyi Amuzie, MDNPI 1316917065
Title
Owner
Phone
(805) 371-0647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G27773 CA Primary

Addresses

Primary practice location

2230 Lynn Rd
Suite 310
Thousand Oaks, CA 91360-1901

Mailing address

2230 Lynn Rd
Suite 310
Thousand Oaks, CA 91360-1901
Phone (805) 371-0647

Other identifiers 1

IdentifierTypeStateIssuer
00G277731MedicaidCA

Other names 1

  • IFEANYI AMUZIE, M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

2230 Lynn Rd
Ste 310
Thousand Oaks, CA 91360
Phone (805) 371-0647

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1396984654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "SUITE 310",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-371-0647",
            "fax_number": "805-371-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "SUITE 310",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-371-0647",
            "fax_number": "805-371-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMUZIE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "AMUZIE",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-371-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G27773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G277731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IFEANYI AMUZIE, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.