Individual provider Active NPI

Sara Houck, FNP

  • Family Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1003448515
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013932 Issued in CA
Practice address
891 Emerson St
Thousand Oaks, CA 91362-2445
Phone
(862) 576-0051
NPI assigned
Feb 12, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013932 CA Primary

Addresses

Primary practice location

891 Emerson St
Thousand Oaks, CA 91362-2445

Mailing address

891 Emerson St
Thousand Oaks, CA 91362-2445
Phone (862) 576-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420000633 CA Practitioner - Nurse Practitioner 2365817640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013932CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Desai MD Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

227 W Janss Rd
Ste 125
Thousand Oaks, CA 91360
Phone (805) 242-4884

227 W Janss Rd
Ste 315
Thousand Oaks, CA 91360
Phone (805) 390-9974

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBA/Endpoint/EIIEBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1003448515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 EMERSON ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622445",
            "telephone_number": "862-576-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 EMERSON ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622445",
            "telephone_number": "862-576-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.