Podesta Orthopedic & Sports Medicine Institute, Inc

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A46655 Issued in CA

Legal business name

PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC

Practice address

351 Rolling Oaks Dr
Suite 104
Thousand Oaks, CA 91361-1275

Phone

(805) 491-4008

NPI assigned

Feb 2, 2008

Organization subpart

No

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

Authorized official

Name

Luga Podesta, M.D.

Title

President

Phone

(805) 491-4008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1013195965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR",
            "address_2": "SUITE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611275",
            "telephone_number": "805-491-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR",
            "address_2": "SUITE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611275",
            "telephone_number": "805-491-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "PODESTA",
        "authorized_official_first_name": "LUGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-491-4008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A46655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plastic, Hand, and Microsurgeons, Inc
• Playtime Solutions
• Plaza Pharmacy LLC
• Michael Steven Plummer, MFT
• Marissa Podell, RD
• Carly Poe
• Ruth L Polan, MD
• Lauren Poliakin, MD
• Raymond Israel Poliakin, MD
• Nicole Nichelle Polizzi

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.