Active NPI
Mukti Agarwal
- Home Health Aide
- Thousand Oaks, CA
National Provider Identifier
1912578931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 564700084
- Practice address
- 468 Pennsfield PL Ste 204
Thousand Oaks, CA 91360-7942 - Phone
- (805) 497-8370
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 564700084 | CA | Primary |
Addresses
Primary practice location
468 Pennsfield PL Ste 204
Thousand Oaks, CA 91360-7942
Mailing address
468 Pennsfield PL Ste 204
Thousand Oaks, CA 91360-7942
Phone (805) 497-8370
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564700084 | CA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rimman LLC | Current | Accepting new patients |
Locations
468 Pennsfield Pl
Ste 204
Thousand Oaks, CA 91360
Phone (805) 495-1028
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1912578931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 PENNSFIELD PL STE 204",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913607942",
"telephone_number": "805-497-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 PENNSFIELD PL STE 204",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913607942",
"telephone_number": "805-497-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "MUKTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CA",
"license": "564700084",
"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 Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.