JACK SHENOUDA MD CORP (NPI# 1962987222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962987222 |
Entity Type | Organization |
Organization Name | JACK SHENOUDA MD CORP |
Practice Address |
1016 Cactus Ct Thousand Oaks CA 91320-5907 |
Practice Telephone | 7175573938 |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |
Authorized Official Name | JACK SHENOUDA (CEO) |
Authorized Official Telephone | 7175573938 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Street Address |
1016 CACTUS CT |
City | THOUSAND OAKS |
State | CA |
Zip Code | 91320-5907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
Find all providers in zip 91320 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
1649813270 | Juan Maya | Internal Medicine | 1978 Calle Yucca, Thousand Oaks, CA 91360-2255 | 2019-10-27 |
1932676483 | Singhal Aggarwal, A Professional Corporation | Internal Medicine | 2647 Capella Way, Thousand Oaks, CA 91362-4954 | 2018-11-01 |
1497125868 | Summit Health Group Inc | Internal Medicine | 55 Rolling Oaks Dr, Ste 100, Thousand Oaks, CA 91361-1010 | 2015-09-29 |
1912322728 | Shahrzad Shareghi Md PC | Internal Medicine | 235 N Conejo School Rd Apt 110, Thousand Oaks, CA 91362-2675 | 2014-03-03 |
1558703363 | Krisztina Ilona Larson | Internal Medicine | 425 Haaland Dr Ste 103, Thousand Oaks, CA 91361-5230 | 2013-07-22 |
1871854695 | Grant Dudley Lawless | Internal Medicine | 956 Paseo Santa Cruz, Thousand Oaks, CA 91320 | 2012-06-07 |
1871810820 | Naj Nagendran | Internal Medicine | 912 Vista Ridge Ln, Thousand Oaks, CA 91362 | 2010-04-30 |
1164750170 | Ali Farrokh | Internal Medicine | 555 Marin St Ste 110, Thousand Oaks, CA 91360 | 2009-12-02 |
1689807463 | Mehdi Manzari | Internal Medicine | 227 W Janss Rd Ste 210, Thousand Oaks, CA 91360-1867 | 2009-08-27 |
Find all providers in THOUSAND OAKS |
City | THOUSAND OAKS |
Zip Code | 91320 |
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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.