NPIMap

Organization Active NPI

Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
National Provider Identifier
1700596111
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
APA MEDICAL GROUP, INC.
Practice address
4005 Mission Oaks Blvd Unit a
Camarillo, CA 93012-5156
Phone
(310) 879-5203
NPI assigned
Nov 28, 2022
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Dr. Pedram Enayati, M.D.NPI 1841403029
Title
Authorized Official
Phone
(310) 409-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4005 Mission Oaks Blvd Unit a
Camarillo, CA 93012-5156

Mailing address

4005 Mission Oaks Blvd Unit a
Camarillo, CA 93012-5156
Phone (310) 409-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515002560 CA Part B Supplier - Clinic/Group Practice 7315303476 Receives reassigned benefits from 109 practitioners
Practice locations: Tustin, CA; Beverly Hills, CA; Thousand Oaks, CA; San Mateo, CA; San Jose, CA; Orange, CA; Los Gatos, CA; Los Angeles, CA…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2080 Century Park E
Ste 1200
Los Angeles, CA 90067
Phone (310) 277-8900

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1700596111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MISSION OAKS BLVD UNIT A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "310-409-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MISSION OAKS BLVD UNIT A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "310-879-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "ENAYATI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-409-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.