JACK SHENOUDA MD CORP


Address: 1016 Cactus Ct, Thousand Oaks, CA 91320-5907
Phone: 7175573938

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1016 CACTUS CT
City THOUSAND OAKS
State CA
Zip Code 91320-5907

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City THOUSAND OAKS
Zip Code 91320

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Dataset Information

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.

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