ABHAY VAIDYA M.D. NPI 1801092796

NPI Information

  • NPI: 1801092796
  • Provider Name: ABHAY VAIDYA, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 301 S MOORPARK RD
    THOUSAND OAKS, CA
    ZIP 91361
  • Phone: (805) 379-9646

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NPI Details

ABHAY VAIDYA, M.D. is a specialist in Thousand Oaks, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ABHAY VAIDYA, M.D. NPI is 1801092796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 S MOORPARK RD
THOUSAND OAKS, CA
ZIP 91361-008
Phone: (805) 379-9646
Fax: (805) 379-0611

The provider's authorized official is Abhay M Vaidya .
The authorized official title is Owner and has the following contact phone number (805) 379-9646.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 8/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG86471CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G86471OTHERCALIFORNIALICENSE
2W16099MEDICARE PINCALIFORNIA
3W16099AMEDICARE PINCALIFORNIA
4W16099BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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