Advanced Care Multispecialty Medical Group Apc
Internal Medicine, Nephrology in Thousand Oaks, CA. Organization (NPI-2).
NPI number1164041422
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1164041422
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Care Multispecialty Medical Group Apc
- Organization subpart
- No
- Enumeration date
- Apr 15, 2020
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 208M00000X | Hospitalist | – | – |
Practice location
325 Rolling Oaks Dr Ste 130Thousand Oaks, CA 91361-1286
Phone 805-497-7775
Mailing address
4000 Calle Tecate Ste 115Camarillo, CA 93012-5285
Phone 805-485-2400 · Fax 805-233-3025
Other practice locations
227 W Janss Rd Ste 110
Thousand Oaks, CA 91360-1854
Thousand Oaks, CA 91360-1854
Phone 805-496-6051 · Fax 805-496-6785
Authorized official
Hashim A Mapara
President
7189096580
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