Active NPI
Manoj Khatore MD a Professional Corporation
- Cardiovascular Disease Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MANOJ KHATORE MD A PROFESSIONAL CORPORATION
- Practice address
- 1901 Outlet Center Dr Ste 260
Oxnard, CA 93036-0667 - Phone
- (805) 604-1824
- NPI assigned
- Jan 2, 2008
- Last updated
- Nov 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manoj Khatore, MD
- Title
- President
- Phone
- (805) 604-1824
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
1901 Outlet Center Dr Ste 260
Oxnard, CA 93036-0667
Mailing address
1901 Outlet Center Dr Ste 260
Oxnard, CA 93036-0667
Phone (805) 604-1824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A653480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0979069 | Manoj Khatore MD, a Professional Corporation | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1901 Outlet Center Dr
Ste 260
Oxnard, CA 93036
Phone (805) 604-1824
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Cardiovascular Disease Physician
- Oxnard, CA
- NPI 1528140639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1427233923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 OUTLET CENTER DR STE 260",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360667",
"telephone_number": "805-604-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 OUTLET CENTER DR STE 260",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360667",
"telephone_number": "805-604-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANOJ KHATORE MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "KHATORE",
"authorized_official_first_name": "MANOJ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-604-1824",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A653480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.