Agoura Hills Health Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AGOURA HILLS HEALTH CARE

Practice address

29525 Canwood St Ste 306
Agoura Hills, CA 91301-4232

Phone

(818) 640-5448

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Craig Steven Dockendorf

Title

Cfo

Phone

(818) 640-5448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucille Charmaine Thomas, M.D.

  • Family Medicine Physician
  • Agoura Hills, CA
  • NPI 1114995768
  Medicare reassignment NPD

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1700205283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25643 MONTE NIDO DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022226",
            "telephone_number": "818-640-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST STE 306",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014232",
            "telephone_number": "818-640-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA HILLS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "DOCKENDORF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-640-5448"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Rivers Affronti, MFT
• Aframian & Shamoeil Dental Corporation
• Afshin Samet MD
• Agoura Behavioral Health LLC
• Agoura Hills Chiropractic Clinic
• Agoura Hills Urgentocare PC
• Agoura Neurofeedback
• Agoura Neurofeedback, Inc.
• Agoura Psychological Services, Inc.
• Agoura Recovery Community, Inc.

• Primary Care Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.