Individual provider Active NPI

Diana Alavi

  • Internal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1700276680
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C198396 Issued in CA
Practice address
3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984
Phone
(818) 232-8432
Fax
(818) 232-8433
NPI assigned
Jan 29, 2015
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X C198396 CA Primary

Addresses

Primary practice location

3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984

Mailing address

3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984
Phone (818) 232-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160726002666 NJ Practitioner - Internal Medicine 1456644681 Reassigns benefits to 4 organizations
I20241114002231 CA Practitioner - Internal Medicine 1456644681 Reassigns benefits to 2 organizations
Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3180 Willow LN
Suite 114
Thousand Oaks, CA 91361-4984
Phone (818) 232-8432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Holmdel Physician Associates CurrentSince May 28, 2016 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Beacon Radiology Solutions LLC CurrentSince May 28, 2016 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Vida Revival Medical Corporation CurrentSince Oct 18, 2025 Accepting new patients
Vida Revival LLC Internal Medicine CurrentSince Feb 10, 2025 Accepting new patients
Healtharc Care, P.C. Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

3180 Willow Ln
Ste 114
Thousand Oaks, CA 91361
Phone (805) 373-1785

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl Second
Tinton Falls, NJ 07701

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEBDD/Endpoint/GDEBDD

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1700276680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 114",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614984",
            "telephone_number": "818-232-8432",
            "fax_number": "818-232-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 114",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614984",
            "telephone_number": "818-232-8432",
            "fax_number": "818-232-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C198396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.