Organization Active NPI

Beverly Hills Physcians Institute a Medical Group Inc

  • General Practice Physician
  • Thousand Oaks, CA
National Provider Identifier
1609569029
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BEVERLY HILLS PHYSCIANS INSTITUTE A MEDICAL GROUP INC
Practice address
115 Jensen CT Ste 200
Thousand Oaks, CA 91360-7406
Phone
(805) 777-8956
Fax
(866) 586-9678
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Maura Ventura
Title
Biller
Phone
(310) 975-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

115 Jensen CT Ste 200
Thousand Oaks, CA 91360-7406

Mailing address

115 Jensen CT Ste 200
Thousand Oaks, CA 91360-7406
Phone (805) 777-8956

National Provider Directory

National Provider Directory

Locations

115 Jensen Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 777-8956

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1609569029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JENSEN CT STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607406",
            "telephone_number": "805-777-8956",
            "fax_number": "866-586-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JENSEN CT STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607406",
            "telephone_number": "805-777-8956",
            "fax_number": "866-586-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS PHYSCIANS INSTITUTE A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "310-975-1881"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 May 31, 2023; 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.