AGOURA HILLS HEALTH CARE
NPI 1700205283
Clinic/Center - Primary Care in Agoura Hills, CA

Active since April 10, 2014
29525 CANWOOD ST STE 306, AGOURA HILLS, CA 91301(818) 640-5448 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Agoura Hills Health Care NPPES

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

AGOURA HILLS HEALTH CARE (NPI 1700205283) is a healthcare organization registered as a primary care in Agoura Hills, California and active in the NPI registry since April 2014. The organization lists Craig Steven Dockendorf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700205283
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAGOURA HILLS HEALTH CARE
Location Address29525 CANWOOD ST STE 306Agoura Hills, CA 91301-4232
Mailing Address25643 Monte Nido DrCalabasas, CA 91302-2226 · (818) 640-5448
Organization SubpartNo
Authorized OfficialCraig Steven DockendorfCfo · (818) 640-5448
Enumeration DateApril 10, 2014
Last NPPES UpdateApril 18, 2014
✔ NPI 1700205283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
29525 CANWOOD ST STE 306, Agoura Hills, CA 91301

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agoura Hills Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Agoura Hills Health Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1114995768
29525 CANWOOD ST STE 306
Agoura Hills, CA 91301
(818) 706-2010
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hills Health Care's NPI number?

The NPI number for Agoura Hills Health Care is 1700205283. It was assigned to this organization in the NPPES registry on April 10, 2014.

Where is Agoura Hills Health Care located?

Agoura Hills Health Care is located at 29525 Canwood St Ste 306, Agoura Hills, CA 91301. The listed phone number is (818) 640-5448.

What is Agoura Hills Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Agoura Hills Health Care enrolled in Medicare?

Yes. Agoura Hills Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agoura Hills Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Agoura Hills Health Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agoura Hills Health Care was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.