| Dr Jack Shenouda, MD | |
|
1600 N Rose Ave, Oxnard, CA 93030-3722 | |
| (717) 577-3938 | |
| (785) 354-6349 |
| Full Name | Dr Jack Shenouda |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 1600 N Rose Ave, Oxnard, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023247822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A140119 (California) | Secondary |
| 208M00000X | Hospitalist | A140119 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| One Legacy Home Health Care, Inc. | Reseda, CA | Home health agency |
| Ben Health Home Health Care, Inc. | Van nuys, CA | Home health agency |
| Four Seasons Health | North hollywood, CA | Home health agency |
| Wholesome Home Health, Inc. | Van nuys, CA | Home health agency |
| Hollywood Premium Home Care, Inc. | Los angeles, CA | Home health agency |
| Vitas Healthcare Corporation Of California | Encino, CA | Hospice |
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Usc Verdugo Hills Hospital | Glendale, CA | Hospital |
| Community Memorial Hospital - Ventura | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 1045 |
| Concord Hospitalist Group A Medical Corporation | 3072899228 | 15 |
| Advantage Hospitalists Inc | 7810291531 | 9 |
| Carepath Medical Group Inc | 8224499868 | 9 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Galen Inpatient Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | Primary Medical Group of Ventura County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417970849 PECOS PAC ID: 0345218160 Enrollment ID: O20040920001052 |
| Entity Name | Advantage Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801269881 PECOS PAC ID: 7810291531 Enrollment ID: O20160201000977 |
| Entity Name | Concord Hospitalist Group a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972036309 PECOS PAC ID: 3072899228 Enrollment ID: O20170424002215 |
| Entity Name | Mobile Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629642921 PECOS PAC ID: 7315330859 Enrollment ID: O20220207000424 |
| Entity Name | Jack Shenouda MD Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962987222 PECOS PAC ID: 5799163739 Enrollment ID: O20220603001770 |
| Entity Name | Carepath Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851085948 PECOS PAC ID: 8224499868 Enrollment ID: O20230731001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Shenouda, MD 1016 Cactus Ct, Thousand Oaks, CA 91320-5907 Ph: (717) 557-3938 | Dr Jack Shenouda, MD 1600 N Rose Ave, Oxnard, CA 93030-3722 Ph: (717) 577-3938 |
Ilene K Tsui, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 1700 N Rose Ave Ste 280, Oxnard, CA 93030 Phone: 805-384-8071 Fax: 805-278-6477 |
Dr. Jan Stefan Eperjesi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: St. John's Regional Medical Center - 1600 N Rose Ave, Oxnard, CA 93030 Phone: 000-000-0000 Fax: 805-256-7840 |
Travis B Bond, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 505-272-1348 |
Tingfei Hu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500 |