AGOURA FAMILY PRACTICE ASSOCIATES
NPI 1912960345
Family Medicine in Thousand Oaks, CA

Active since April 07, 2006
3180 WILLOW LN, 102, THOUSAND OAKS, CA 91361(805) 494-8520(805) 557-0196 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Agoura Family Practice Associates NPPES

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

AGOURA FAMILY PRACTICE ASSOCIATES (NPI 1912960345) is a healthcare organization registered as a family medicine in Thousand Oaks, California and active in the NPI registry since April 2006. The organization lists Bader Iqbal, Owner Partner, as its authorized official.

NPPES Registry Identity

NPI1912960345
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAGOURA FAMILY PRACTICE ASSOCIATES
Location Address3180 WILLOW LN, 102Thousand Oaks, CA 91361-4900
Mailing Address3180 Willow Ln, #102Thousand Oaks, CA 91361-4900 · (805) 494-8520 · Fax (805) 557-0196
Fax(805) 557-0196
Organization SubpartNo
Authorized OfficialBader IqbalOwner Partner · (805) 494-8520
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 25, 2009
✔ NPI 1912960345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G069473
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License A67631 (CA)
3180 WILLOW LN, Thousand Oaks, CA 91361

Other Identifiers 3

Medicare PINW10611CA
Medicare UPINH08323CA
Medicare UPINE94624

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

Accepted Insurance

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 Family Practice Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Agoura Family Practice Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1083635205
3180 WILLOW LN STE 102 STE 102
Thousand Oaks, CA 91361
(805) 494-8520
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174054019
3180 WILLOW LN STE 102
Thousand Oaks, CA 91361
(805) 494-8520
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346254364
3180 WILLOW LN STE 102
Thousand Oaks, CA 91361
(805) 494-8520
✔ 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 Family Practice Associates's NPI number?

The NPI number for Agoura Family Practice Associates is 1912960345. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Agoura Family Practice Associates located?

Agoura Family Practice Associates is located at 3180 Willow Ln 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 Family Medicine with taxonomy code 207Q00000X.

Is Agoura Family Practice Associates enrolled in Medicare?

Yes. Agoura Family Practice Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agoura Family Practice Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Agoura Family Practice Associates, in Family Practice and Internal Medicine. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Agoura Family Practice Associates accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers 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 June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.