Jacob & Henein a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

JACOB & HENEIN A MEDICAL CORPORATION

Practice address

2230 Lynn Rd
Suite 230
Thousand Oaks, CA 91360-1901

Phone

(805) 373-5864

Fax

(805) 277-9740

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sherif Gabriel Henein, M.D.

Title

Vice President

Phone

(805) 373-5864

Specialties & licenses 1

Addresses

Locations

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)…

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1649396946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7629",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913597629",
            "telephone_number": "805-373-5864",
            "fax_number": "805-277-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "SUITE 230",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-373-5864",
            "fax_number": "805-277-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB & HENEIN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "HENEIN",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "805-373-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Thomas Millington, MD a Medical Corporation
• J. B. Wilmeth, M.D., Inc.
• Briana Jacinto
• Jack C Chang, DDS Inc
• Jack Shenouda MD Corp
• Christina N Jacob, M.D.
• Cynthia A Jacobson, CRNA, MS
• Daryoush Jadali, M.D.
• Jaesung Lee
• Sharon Shahnaz Jafari, NP

• Pulmonary Disease Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.