Sandra Abadir, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Thousand Oaks, CA
NPI 1609578152 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1609578152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 215 W Janss Rd
Thousand Oaks, CA 91360-1847 - Phone
- (805) 852-9229
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726001643 | CA | Order and Referring Only - Internal Medicine |
3971049891 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 852-9229
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All providers in Thousand Oaks, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.