Pacific Palms Internal Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C129345 Issued in CA

Legal business name

PACIFIC PALMS INTERNAL MEDICINE, P.C.

Practice address

2530 Renata CT
Thousand Oaks, CA 91362-4918

Phone

(805) 795-3934

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Amit Monga

Title

Ceo

Phone

(805) 795-3934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1669851069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RENATA CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RENATA CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624918",
            "telephone_number": "805-795-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PALMS INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "MONGA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-795-3934"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C129345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Surgical Group
• Pacific Coast Wellness
• Pacific Dental Inc
• Pacific Interventional Cardiology a Medical Corporation
• Pacific Medical Partners, Inc.
• Pacific Surgical Suite, LLC
• Efren Padilla
• Heather Paicely
• Pain Management & Injury Relief Medical Center, Inc
• Tammy Pak, L.AC

• Internal Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.