OrganizationActive
The Institute for Advanced Breast Reconstruction Inc.
NPI 1700458973 · Plastic Surgery Physician · Thousand Oaks, CA
Provider details
- NPI number
- 1700458973
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dhivya Srinivasa, Ceo(818) 671-7956
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
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
415 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1046
Phone: (818) 336-1295
Street-level locationGet directions
Mailing address
5887 Annie Oakley Rd
Hidden Hills, CA 91302-1200
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.