CALIFORNIA CEREBROVASCULAR INSTITUTE INC (NPI# 1912439894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912439894 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CEREBROVASCULAR INSTITUTE INC |
| Practice Address |
2100 Lynn Rd Suite 120 Thousand Oaks CA 91360-1935 |
| Mailing Address |
3435 E Thousand Oaks Blvd Suite 7735 Westlake Village CA 91359-7901 |
| Practice Telephone | 8057957656 |
| Practice Fax Number | 8054948621 |
| Mailing Telephone | 8057957656 |
| Mailing Fax Number | 8054948621 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MARTIN M MORTAZAVI (PARTNER) |
| Authorized Official Telephone | 8057957656 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | A118331 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A112672 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2100 LYNN RD SUITE 120 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841262193 | Lorne Sheldon Label | Psychiatry & Neurology | 2100 Lynn Rd, Ste 230, Thousand Oaks, CA 91360 | 2006-02-02 |
| 1609301167 | Jennifer S. Liu | Physician Assistant | 2100 Lynn Rd, #120, Thousand Oaks, CA 91360-1935 | 2017-04-21 |
| 1972957363 | Neurovascular Institute of Thousand Oaks Inc | Radiology | 2100 Lynn Rd, Suite 120, Thousand Oaks, CA 91360-8033 | 2016-04-21 |
| 1457733701 | Edmund Choi, M.d. Inc. | Orthopaedic Surgery | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2015-06-23 |
| 1811320724 | Gholam R Mohammadzadeh Md Inc A Medical Corporation | Surgery | 2100 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1935 | 2013-08-14 |
| 1669757548 | Pei-ran Ho | Orthopaedic Surgery | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-10-11 |
| 1114212388 | Shahriar Ghodsian Md Inc | Internal Medicine | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-06-15 |
| 1376835330 | Gregory H Tchejeyan Md Inc | Specialist | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-05-10 |
| 1730498957 | Thousand Oaks Heart Center | Clinic/Center | 2100 Lynn Rd, 205, Thousand Oaks, CA 91360-1935 | 2010-10-05 |
| 1437381589 | Pacific Coast Wellness | Pediatrics | 2100 Lynn Rd, Thousand Oaks, CA 91360-1935 | 2009-08-21 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665843 | Layton Surgery | Surgery | 9025 Wilshire Blvd Ste 401, Beverly Hills, CA 90211-1828 | 2018-10-17 |
| 1003319609 | Amber Jones Do Mph | Surgery | 121 Jose Ln, Martinez, CA 94553-9795 | 2018-03-10 |
| 1326589870 | Aussama Khalaf Nassar | Surgery | 300 Pasteur Dr # 67, Stanford, CA 94305-2200 | 2017-03-16 |
| 1124301189 | Rafael Torres-fajardo | Surgery | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2011-09-26 |
| 1104125343 | Eleanor Curtis | Surgery | 2335 Stockton Blvd, Sacramento, CA 95817-9581 | 2011-03-25 |
| 1942444005 | Justin Abraham Mandell | Surgery | 2315 Stockton Blvd # Surgery, Sacramento, CA 95817-2201 | 2009-04-20 |
| 1649435322 | Ruby A. Skinner, Md Apc | Surgery | 1100 S Hope St Apt 1116, Los Angeles, CA 90015-2190 | 2008-07-22 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1851596118 | Angela Lynn Neville | Surgery | Harbor Ucla Medical Center, Dept of Surgery. Box #25, 1000 W. Carson Street, Torrance, CA 90502 | 2007-06-18 |
| 1750315214 | Sean Cao, M.d., Inc. | Surgery | 9940 Talbert Ave # 202, Fountain Valley, CA 92708-5153 | 2006-07-10 |
| 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.