AGOURA FAMILY PRACTICE MEDICAL ASSOICATES
NPI 1174995518
Non-Pharmacy Dispensing Site in Thousand Oaks, CA

NPI Status: Active since October 26, 2015

Contact Information

3180 WILLOW LN
SUITE 102
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 494-8520
Fax: (888) 431-8819

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Accepts Insurance
  • CLIA Number: 05D0557238
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2026

About AGOURA FAMILY PRACTICE MEDICAL ASSOICATES

This page provides the complete NPI Profile along with additional information for Agoura Family Practice Medical Assoicates, a provider established in Thousand Oaks, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1174995518 assigned on October 2015. The practitioner's primary taxonomy code is 332900000X with license number G69473 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Agoura Family Practice Medical Assoicates. The authorized official of this NPI record is Bader Iqbal M.d. (Owner)

NPI
1174995518
Provider Legal Name
AGOURA FAMILY PRACTICE ASSOCIATES
Other Organization Name
AGOURA FAMILY PRACTICE MEDICAL ASSOICATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3180 WILLOW LN SUITE 102 THOUSAND OAKS, CA 91361
Location Phone
(805) 494-8520
Location Fax
(888) 431-8819
Mailing Address
2980 N BEVERLY GLEN CIR SUITE 100 LOS ANGELES, CA 90077
Mailing Phone
(310) 943-4180
Mailing Fax
(888) 431-8819
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-26-2015
Last Update Date
10-26-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
G69473
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BADER IQBAL M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(805) 494-8520

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0557238
Facility Type
Physician Office
Certificate Effective Date
January 01, 2025
Certificate Expiration Date
December 31, 2026
Laboratory Director
BADER IQBAL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Agoura Family Practice Medical Assoicates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AGOURA FAMILY PRACTICE MEDICAL ASSOICATES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174995518, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 8 + 9 + 1 + 0 + 5 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1174995518.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Chiropractor
3180 WILLOW LN, STE122
THOUSAND OAKS, CA 91361
Specialist
3180 WILLOW LN, #200
THOUSAND OAKS, CA 91361
Specialist
3180 WILLOW LN, #200
THOUSAND OAKS, CA 91361
Family Medicine
3180 WILLOW LN, 102
THOUSAND OAKS, CA 91361
Chiropractor
3180 WILLOW LN, SUITE 102
THOUSAND OAKS, CA 91361
Clinical Medical Laboratory
3180 WILLOW LN, SUITE 220
THOUSAND OAKS, CA 91361
Chiropractor
3180 WILLOW LN, SUITE 122
THOUSAND OAKS, CA 91361
Chiropractor
3180 WILLOW LN, SUITE 110
THOUSAND OAKS, CA 91361
Acupuncturist
3180 WILLOW LN, SUITE 106
THOUSAND OAKS, CA 91361
Nurse Practitioner (Family)
3180 WILLOW LN, SUITE 102
THOUSAND OAKS, CA 91361
General Practice
3180 WILLOW LN, #210
THOUSAND OAKS, CA 91361
Obstetrics & Gynecology (Gynecology)
3180 WILLOW LN, SUITE 108
THOUSAND OAKS, CA 91361
Dentist
3180 WILLOW LN, SUITE 208
THOUSAND OAKS, CA 91361
Hospice Care, Community Based
3180 WILLOW LN
THOUSAND OAKS, CA 91361
Chiropractor
3180 WILLOW LN, SUITE 204
THOUSAND OAKS, CA 91361
Dentist (General Practice)
3180 WILLOW LN, STE 218
THOUSAND OAKS, CA 91361
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3180 WILLOW LN, SUITE 220
WESTLAKE VILLAGE, CA 91361
Clinic/Center (Sleep Disorder Diagnostic)
3180 WILLOW LN, SUITE 220
THOUSAND OAKS, CA 91361
Specialist
3180 WILLOW LN, #200
THOUSAND OAKS, CA 91361
Obstetrics & Gynecology
3180 WILLOW LN, SUITE 108
THOUSAND OAKS, CA 91361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174995518, enumerated as an "organization" on October 26, 2015.

The provider is located at 3180 WILLOW LN SUITE 102 THOUSAND OAKS, CA 91361 and the phone number is (805) 494-8520.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.