Memory Health Mds PC
NPI 1174263719 · Geriatric Medicine (Internal Medicine) Physician · Thousand Oaks, CA
Memory Health Mds PC is a Geriatric Medicine (Internal Medicine) Physician organization in Thousand Oaks, CA (NPI 1174263719).
Provider details
- NPI number
- 1174263719
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Preetivi Ellis, Ceo(310) 880-0745
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Memory Health Mds PC's NPI number?
- Memory Health Mds PC's National Provider Identifier (NPI) is 1174263719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memory Health Mds PC?
- Memory Health Mds PC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Memory Health Mds PC located?
- Memory Health Mds PC's practice location on file with NPPES is 3302 Woodley Ave, Thousand Oaks, CA 91362-1170.
- What is Memory Health Mds PC's phone number?
- The practice phone number listed in the NPPES registry for Memory Health Mds PC is (805) 627-4002.
- Who is the authorized official for Memory Health Mds PC?
- The authorized official listed on Memory Health Mds PC's NPPES record is Preetivi Ellis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memory Health Mds PC's NPI active?
- Yes — Memory Health Mds PC's NPI (1174263719) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.