The Institute for Advanced Breast Reconstruction Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE INSTITUTE FOR ADVANCED BREAST RECONSTRUCTION INC.

Practice address

415 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1046

Phone

(818) 336-1295

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dhivya Srinivasa, MDNPI 1649596032

Title

Ceo

Phone

(818) 671-7956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dhivya Srinivasa, M.D.

  • Plastic Surgery Physician
  • Agoura Hills, CA
  • NPI 1649596032
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1700458973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 ANNIE OAKLEY RD",
            "city": "HIDDEN HILLS",
            "state": "CA",
            "postal_code": "913021200",
            "telephone_number": "818-671-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611046",
            "telephone_number": "818-336-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR ADVANCED BREAST RECONSTRUCTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "SRINIVASA",
        "authorized_official_first_name": "DHIVYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-671-7956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Susan Tester, D.P.M.
• Teviah Turkat a Medical Corporation
• The Center for Implant & Cosmetic Dentistry (Dr Sam Sherif)
• The Hand & Upper Extremity Center
• The Hand & Upper Extremity Center Inc
• The Internship
• The Oaks Physical Therapists and Rehabilitation Specialists, Inc. (The Oaks Rehabilitation Specialists)
• The Regents of the University of California (UCLA Dept of Medicine)
• The Regents of the University of California (UCLA Dept of Medicine)
• Therapy Innovations Physical Therapy Inc.

• Plastic Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.