ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC — NPI 1164041422 (Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) in THOUSAND OAKS, CA)

CMS-1500 Box 24J / 33a • NPI

1164041422

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RN0300X (CMS 11)

Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)

Box 32 Service Location & ZIP+4

325 ROLLING OAKS DR STE 130, THOUSAND OAKS, CA, 91361-1286

✓ 9-Digit EDI 837 ZIP+4 (91361-1286)

Practice Phone & Referral Fax

(805) 497-7775

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164041422 (ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164041422` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC
Plain-English Specialty	Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) NUCC Code: `207RN0300X` (Internal Medicine, Nephrology)
Certifying / Licensing Body	American Board of Internal Medicine — Nephrology
Practice Location Address	325 ROLLING OAKS DR STE 130, THOUSAND OAKS, CA, 91361-1286
Practice Telephone / Fax	Tel: (805) 497-7775
Administrative Mailing Address	4000 CALLE TECATE STE 115, CAMARILLO, CA, 93012-5285
Enumeration & Last Sync	Enumerated: 2020-04-15 \| CMS Record Updated: 2025-02-06
Authorized Official	HASHIM MAPARA (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

325 ROLLING OAKS DR STE 130, THOUSAND OAKS, CA, 91361-1286

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Plain-English Taxonomy & CMS Crosswalk (207RN0300X)

What Does Taxonomy Code 207RN0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RN0300X translates to:
"Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 39 (Physician/Nephrology)
Certifying / Accrediting Authority: American Board of Internal Medicine — Nephrology
Clinical Scope: Declining kidney function (high creatinine / low eGFR), protein or blood in urine, recurrent kidney stones, electrolyte imbalances, or severe hypertension.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC)

Typical CPT / Diagnostic Procedures:

Chronic Kidney Disease (eGFR & Albuminuria) Staging & Renoprotective Planning
24-Hour Urine Metabolic Evaluation for Recurrent Kidney Stones
Outpatient Hemodialysis & Peritoneal Dialysis Oversight (CPT 90960)
Renal Biopsy Evaluation & Secondary Hypertension Workup

Common Therapeutic Classes:

SGLT2 Inhibitors (Dapagliflozin, Empagliflozin) & Finerenone for CKD
ACE Inhibitors / ARBs for Proteinuria Reduction
Potassium Citrate & Thiazide Diuretics (Kidney Stone Prevention)
Erythropoiesis-Stimulating Agents & Phosphate Binders

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RN0300X` — Internal Medicine, Nephrology Plain English: Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED CARE MULTISPECIALTY MEDICAL GROUP APC (NPI #1164041422)