Organization Active NPI

Irina Feldman, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1497941215
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A88266 Issued in CA
Legal business name
IRINA FELDMAN, M.D., INC.
Practice address
351 Rolling Oaks Dr Ste 204
Thousand Oaks, CA 91361-1285
Phone
(805) 777-7676
Fax
(805) 374-1323
NPI assigned
Sep 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Irina Feldman, M.D.NPI 1417919721
Title
President
Phone
(805) 777-7676

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
Medical Specialty Clinic/Center 261QM2500X A88266 CA Primary

Addresses

Primary practice location

351 Rolling Oaks Dr Ste 204
Thousand Oaks, CA 91361-1285

Mailing address

351 Rolling Oaks Dr Ste 204
Thousand Oaks, CA 91361-1285
Phone (805) 777-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000450 CA Part B Supplier - Clinic/Group Practice 8729163811 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

329 S Moorpark Rd
Thousand Oaks, CA 91361
Phone (805) 374-1333

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 & affiliated clinicians

Practitioners 3

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": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1497941215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611285",
            "telephone_number": "805-777-7676",
            "fax_number": "805-374-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611285",
            "telephone_number": "805-777-7676",
            "fax_number": "805-374-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA FELDMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-777-7676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A88266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.