Active NPI
Asma Bent Taouf Souissi, M.D.
- Family Medicine Physician
- Thousand Oaks, CA
National Provider Identifier
1881319838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C176160
- Practice address
- 80 E Hillcrest Dr
Ste 102
Thousand Oaks, CA 91360 - Phone
- (805) 497-3575
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C176160 | CA | Primary |
Addresses
Primary practice location
80 E Hillcrest Dr
Ste 102
Thousand Oaks, CA 91360
Mailing address
7021 Aldus Drive
Unit 103
Goleta, CA 93117
Phone (805) 696-3506
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C176160 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1881319838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7021 ALDUS DRIVE",
"address_2": "UNIT 103",
"city": "GOLETA",
"state": "CA",
"postal_code": "93117",
"telephone_number": "805-696-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E HILLCREST DR",
"address_2": "STE 102",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-497-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUISSI",
"first_name": "ASMA",
"middle_name": "BENT TAOUF",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C176160",
"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 Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.