NPIMap

Individual provider Active NPI

Andre S Yousefia, M.D.

  • Specialist
  • Thousand Oaks, CA
National Provider Identifier
1992735930
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A72667 Issued in CA
Practice address
227 W Janss Rd
Suite 100
Thousand Oaks, CA 91360-1848
Phone
(805) 230-2333
Fax
(805) 230-2335
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A72667 CA Primary

Addresses

Primary practice location

227 W Janss Rd
Suite 100
Thousand Oaks, CA 91360-1848

Mailing address

1336 N Moorpark Rd # 288
Thousand Oaks, CA 91360-5224
Phone (805) 230-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000510 CA Practitioner - Internal Medicine 7719981281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 W Janss Rd
Suite 100
Thousand Oaks, CA 91360-1860
Phone (805) 230-2333

Hospital & facility affiliations

  • GMM Home Health Care, Inc Home health agency, Burbank, CA, CCN 757029
  • Assisted Home Care Home health agency, Mission Hills, CA, CCN 557089
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
85.49 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
51.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72667CAMDSocial Worker
A72667CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Andre Shahab Yousefia MD PC Current Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCFDCA/Endpoint/CCFDCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992735930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 N MOORPARK RD # 288",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605224",
            "telephone_number": "805-230-2333",
            "fax_number": "805-230-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-230-2333",
            "fax_number": "805-230-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFIA",
        "first_name": "ANDRE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A72667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.