NPIMap

Individual provider Active NPI

Dina Ohevshalom, D.O.

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1669634028
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12697 Issued in CA
Practice address
2230 Lynn Road
Suite 200
Thousand Oaks, CA 91360-1900
Phone
(805) 495-1066
Fax
(805) 497-0162
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 261336 NY
Family Medicine Physician 207Q00000X 20A12697 CA Primary

Addresses

Primary practice location

2230 Lynn Road
Suite 200
Thousand Oaks, CA 91360-1900

Mailing address

2230 Lynn Road
Suite 200
Thousand Oaks, CA 91360-1900
Phone (805) 495-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000983 CA Practitioner - Internal Medicine 4789835752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Oaks Medical Associates IncGroup PAC ID 7416922141, 11 clinicians

Practice addresses (Care Compare)

2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1900
Phone 80549510665000

Hospital & facility affiliations

  • Eden Home Health, Inc. Home health agency, Woodland Hills, CA, CCN 059677
  • Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Oakview Skilled Nursing Nursing home, Thousand Oaks, CA, CCN 555857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Regional Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1669634028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN ROAD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601900",
            "telephone_number": "805-495-1066",
            "fax_number": "805-230-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN ROAD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601900",
            "telephone_number": "805-495-1066",
            "fax_number": "805-497-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEVSHALOM",
        "first_name": "DINA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "261336",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.