Individual provider Active NPI

Mukti Agarwal

  • Home Health Aide
  • Thousand Oaks, CA
National Provider Identifier
1912578931
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
564700084 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
564700084CAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Rimman LLC CurrentSince Apr 3, 2022 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.

Verify at the official NPI Registry.