Provider Demographics
NPI:1639161581
Name:ARORA, ASHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHIM
Middle Name:
Last Name:ARORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 MACAW LN
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3152
Mailing Address - Country:US
Mailing Address - Phone:805-584-1930
Mailing Address - Fax:805-584-1932
Practice Address - Street 1:158 MACAW LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3152
Practice Address - Country:US
Practice Address - Phone:805-584-1930
Practice Address - Fax:805-584-1932
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2019-07-12
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
CAA51729207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A517290Medicaid
P00037738OtherRAILROAD MEDICARE
CAWA51729BMedicare ID - Type UnspecifiedMEMBER ID TO
CAWA51729AMedicare ID - Type UnspecifiedMEMBER ID SV
CA00A517290Medicaid