MARK H MAZUR MD & BARRY STATNER MD A PROFESSIONAL CORPORATION (NPI# 1376631341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376631341 |
| Entity Type | Organization |
| Organization Name | MARK H MAZUR MD & BARRY STATNER MD A PROFESSIONAL CORPORATION |
| Practice Address |
2220 Lynn Rd Suite 301 Thousand Oaks CA 91360-8005 |
| Practice Telephone | 8054951073 |
| Practice Fax Number | 8054955836 |
| Mailing Telephone | 8054951073 |
| Mailing Fax Number | 8054955836 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | MARK H MAZUR (PRESIDENT) |
| Authorized Official Telephone | 8054951073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0078460 | 05 | |
| CA | BLUE SHIELD | ZZZ62326Z | 01 |
| Street Address |
2220 LYNN RD SUITE 301 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404723 | David Gerard Aliabadi | Internal Medicine | 2220 Lynn Rd, Suite 208, Thousand Oaks, CA 91360-1904 | 2005-08-11 |
| 1336593334 | Karen A Brousseau | Pharmacist | 2220 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1904 | 2016-04-16 |
| 1508210758 | Shirley Poon | Pharmacist | 2220 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1904 | 2016-04-13 |
| 1437537693 | Martin A Josephson, M.d. | Clinic/Center | 2220 Lynn Rd, 208, Thousand Oaks, CA 91360-1904 | 2015-05-08 |
| 1588084859 | Conejo Valley Electrophysiology Inc. | Internal Medicine | 2220 Lynn Rd, Suite 203, Thousand Oaks, CA 91360-1904 | 2014-04-24 |
| 1124387014 | Jeffrey Tseng, Md, Inc. | Clinic/Center | 2220 Lynn Rd, Suite 109, Thousand Oaks, CA 91360-1904 | 2012-05-11 |
| 1972803534 | Jeffrey P. Block M. D., Apc | Obstetrics & Gynecology | 2220 Lynn Rd, 302, Thousand Oaks, CA 91360-1904 | 2010-10-29 |
| 1467772012 | Mark L Starr Md A Medical Corporation | Internal Medicine | 2220 Lynn Rd, 105, Thousand Oaks, CA 91360-1904 | 2010-06-06 |
| 1932365517 | J Thomas Millington, Md A Medical Corporation | Specialist | 2220 Lynn Rd, Suite 102, Thousand Oaks, CA 91360-1904 | 2008-08-01 |
| 1396910915 | David Ghausi Do Inc | Obstetrics & Gynecology | 2220 Lynn Rd, Suite 302, Thousand Oaks, CA 91360-1904 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528299708 | Andrew Ma | Internal Medicine | 2220 Lynn Rd Ste 301, Thousand Oaks, CA 91360-8005 | 2009-08-05 |
| 1184712168 | Sujay Dutta | Internal Medicine | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360 | 2006-10-11 |
| 1245328228 | Mark H Mazur | Internal Medicine | 2220 Lynn Road, Suite 301, Thousand Oaks, CA 91360 | 2006-10-11 |
| 1740378728 | Barry Statner | Internal Medicine | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527452 | Minal Kapoor Md PC | Internal Medicine | 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 | 2020-01-10 |
| 1285271247 | Sandeep Kumar Bansil Md Inc | Internal Medicine | 641 S Primrose St, La Habra, CA 90631-9245 | 2019-12-09 |
| 1356906739 | Joshua Wolfsohn Do Inc | Internal Medicine | 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 | 2019-05-01 |
| 1598224222 | Andrew Markus Faulk | Internal Medicine | 2121 Webster St Apt 605, San Francisco, CA 94115-7812 | 2019-03-12 |
| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.