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

Active since October 26, 2015CLIA 05D0557238 · Waiver
3180 WILLOW LN, SUITE 102, THOUSAND OAKS, CA 91361(805) 494-8520(888) 431-8819 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agoura Family Practice Medical Assoicates NPPES

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

AGOURA FAMILY PRACTICE MEDICAL ASSOICATES (NPI 1174995518) is a healthcare organization registered as a non-pharmacy dispensing site in Thousand Oaks, California and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Bader Iqbal, Owner, as its authorized official.

NPPES Registry Identity

NPI1174995518
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameAGOURA FAMILY PRACTICE ASSOCIATES
Location Address3180 WILLOW LN, SUITE 102Thousand Oaks, CA 91361-4941
Mailing Address2980 N Beverly Glen Cir, Suite 100Los Angeles, CA 90077-1726 · (310) 943-4180 · Fax (888) 431-8819
Phone(805) 494-8520
Fax(888) 431-8819
Organization SubpartYes
Authorized OfficialBader IqbalOwner · (805) 494-8520
Enumeration DateOctober 26, 2015
✔ NPI 1174995518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · G69473
Definition
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.)
3180 WILLOW LN, Thousand Oaks, CA 91361
Open in Google Maps ↗

Other Names 1

Doing Business AsAgoura Family Practice Medical Assoicates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0557238

Agoura Family Practice · Westlake Village, CA
Active · expires Dec 31, 2026
CLIA Number05D0557238
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorBader Iqbal MD
Laboratory Phone(805) 494-8520
Laboratory LocationAgoura Family Practice3180 Willo Lane Ste 102, Westlake Village, CA 91361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT GHAUSSY M.D.
Specialist
3180 WILLOW LN, #200
THOUSAND OAKS, CA 91361
Los Angeles County (805) 497-3239
DR. KARYN JILL GOLDBERG D.C.
Chiropractor
3180 WILLOW LN, SUITE 110
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-4537
CHRISTINE LYNN FARRELL MSN FNP-C
Nurse Practitioner (Family)
3180 WILLOW LN, SUITE 102
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-8520
MS. MIRELA CERNAIANU
Obstetrics & Gynecology
3180 WILLOW LN, SUITE 108
THOUSAND OAKS, CA 91361
Los Angeles County (805) 815-5215
SLEEP ASSIST, INC.
Clinical Medical Laboratory
3180 WILLOW LN, SUITE 220
THOUSAND OAKS, CA 91361
Los Angeles County (805) 557-0900
DR. MICHELLE MARTINKOVIC CARAVELLO D.C.
Chiropractor
3180 WILLOW LN, SUITE 204
THOUSAND OAKS, CA 91361
Los Angeles County (805) 409-8000
SLEEP ASSIST
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3180 WILLOW LN, SUITE 220
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 557-0900
DR. DAVID LYNN SPEAKMAN D.C.
Chiropractor
3180 WILLOW LN, SUITE 122
THOUSAND OAKS, CA 91361
Los Angeles County (805) 338-9154

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 Agoura Family Practice Associates's NPI number?

The NPI number for Agoura Family Practice Associates is 1174995518. It was assigned to this organization in the NPPES registry on October 26, 2015. The provider is doing business as Agoura Family Practice Medical Assoicates.

Where is Agoura Family Practice Associates located?

Agoura Family Practice Associates is located at 3180 Willow Ln Suite 102, Thousand Oaks, CA 91361. The listed phone number is (805) 494-8520.

What is Agoura Family Practice Associates's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Agoura Family Practice Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0557238) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agoura Family Practice Associates accept?

Health plans from Sanford Health Plan list Agoura Family Practice Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agoura Family Practice Associates was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.