BASSAM GHANEM (NPI# 1528167830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167830 |
| Entity Type | Individual |
| Full Name | BASSAM GHANEM |
| Credential | MD |
| Practice Address |
425 Haaland Dr Ste 101 Thousand Oaks CA 91361-5230 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 8054962949 |
| Practice Fax Number | 8052044076 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 8055226463 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A97459 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Duarte Rd, Duarte, CA 910103012 | 6262564673 | 6264083911 |
| 1157 Swallow Ln, Simi Valley, CA 930653155 | 8055272770 | 8055272870 |
| Street Address |
425 HAALAND DR STE 101 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495475 | Ashwin Kashyap | Internal Medicine | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2005-05-27 |
| 1326557885 | Stella Y Ortiz | Nurse Practitioner | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2017-09-27 |
| 1831519784 | Alexander P. Hersel, Md, Inc | Durable Medical Equipment & Medical Supplies | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2014-04-18 |
| 1073889002 | Nikita Mukesh Shah | Surgery | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600288 | Jeffrey Wiezorek | Internal Medicine | 1 Amgen Center Dr, Ms 38-2-a, Thousand Oaks, CA 91320-1730 | 2008-09-04 |
| 1649463225 | Harry S. Menco, M.d., Inc. | Internal Medicine | 227 W Janss Rd, Suite 310, Thousand Oaks, CA 91360-1848 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1366845166 | Dr Shahrooz Eshaghian Md Inc | Internal Medicine | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | 2014-10-07 |
| 1801214903 | Varsha Tulpule | Internal Medicine | 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 | 2014-04-04 |
| 1912321407 | Jennifer Sanbar | Internal Medicine | 2640 Montrose Ave, Montrose, CA 91020-1312 | 2014-02-05 |
| 1053654467 | Pratik Multani | Internal Medicine | 6293 Belmont Trail Ct, San Diego, CA 92130-6819 | 2013-04-03 |
| 1689928533 | Michael Wayne Saville | Internal Medicine | 1811 Aston Ave, Carlsbad, CA 92008-7396 | 2012-10-30 |
| 1396090106 | Ijaz I Arshad Md Inc. | Internal Medicine | 2433 Marshall Rd, Imperial, CA 92251-9599 | 2012-07-17 |
| 1013278811 | Ann Margaretha Lowe | Internal Medicine | 420 Cambridge Ave, Unit 3, Palo Alto, CA 94306-1507 | 2012-06-07 |
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1821367467 | Jonathan Peter Schechter | Internal Medicine | 3823 Greenview Dr, El Dorado Hills, CA 95762-5218 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
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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.