Siddique Abbasi, MD
Individual provider Active NPI Cardiovascular Disease Physician · Thousand Oaks, CA
NPI 1528076718 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1528076718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- C165619 (CA)
- Practice address
- 80 E Hillcrest Dr Ste 102
Thousand Oaks, CA 91360-4219 - Phone
- (805) 497-3575
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249446-1 | NY | MD | Internal Medicine Physician |
| C165619 | CA | MD | Cardiovascular Disease Physician |
| 036123863 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Diagnostic and Treatment Center | Past | Accepting new patients |
Interoperability endpoints
- siddique.abbasi.1@15456.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249446-1 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | MD14689 | RI | |
| Cardiovascular Disease Physician | 207RC0000X | 036123863 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | C165619 | CA | Yes |
Addresses
Primary practice location
80 E Hillcrest Dr Ste 102
Thousand Oaks, CA 91360-4219
Mailing address
80 E Hillcrest Dr Ste 102
Thousand Oaks, CA 91360-4219
Phone (805) 497-3575
Other providers in Thousand Oaks, CA
- A Wildwood Recovery Iop
- Venkat Raghav Aachi
- Azadeh Juliet Aarons
- Sandra Abadir
- Hazel Abaya
- Crispin Patrick Abbott
- Abc American Behavioral Treatment Center
- Danny Abdalnour
- Sara Abdel Azim
- Joseph Khedry Abdelmesseh
All providers in Thousand Oaks, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.