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MEMORY HEALTH MDS PC
NPI 1174263719
Internal Medicine - Geriatric Medicine in Thousand Oaks, CA

Active since March 31, 2022
3302 WOODLEY AVE, THOUSAND OAKS, CA 91362(805) 627-4002 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memory Health Mds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORY HEALTH MDS PC (NPI 1174263719) is a healthcare organization registered as a geriatric medicine in Thousand Oaks, California and active in the NPI registry since March 2022. The organization lists Preetivi Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174263719
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMEMORY HEALTH MDS PC
Location Address3302 WOODLEY AVEThousand Oaks, CA 91362-1170
Mailing Address3302 Woodley AveThousand Oaks, CA 91362-1170 · (805) 627-4002
Phone(805) 627-4002
Organization SubpartNo
Authorized OfficialPreetivi EllisCeo · (310) 880-0745
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1174263719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X
3302 WOODLEY AVE, Thousand Oaks, CA 91362
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memory Health Mds PC's NPI number?

The NPI number for Memory Health Mds PC is 1174263719. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Memory Health Mds PC located?

Memory Health Mds PC is located at 3302 Woodley Ave, Thousand Oaks, CA 91362. The listed phone number is (805) 627-4002.

What is Memory Health Mds PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Memory Health Mds PC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.