Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

California Cerebrovascular Institute Inc

Organization Surgical Critical Care Physician · NPI 1912439894

California Cerebrovascular Institute Inc is a Surgical Critical Care Physician in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-1935
Phone: (805) 795-7656
Fax: (805) 494-8621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence A112672 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence A118331 (CA)

Record details

NPI number1912439894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Mortazavi — Partner · (805) 795-7656
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 30, 2017
Mailing address3435 E Thousand Oaks Blvd, Suite 7735, Westlake Village, CA 91359-7901

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