Individual provider Active NPI

Bassem Elmankabadi

  • Student in an Organized Health Care Education/Training Program
  • Thousand Oaks, CA
National Provider Identifier
1710387071
Registry record updated Aug 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
82 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2938
Phone
(562) 310-8718
NPI assigned
Aug 23, 2014
Last updated
Aug 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

82 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2938

Mailing address

82 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2938
Phone (562) 310-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1710387071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 W AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602938",
            "telephone_number": "562-310-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602938",
            "telephone_number": "562-310-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMANKABADI",
        "first_name": "BASSEM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-23",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.