Organization Active NPI

Mark Jude Tramo MD Apc

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Thousand Oaks, CA
National Provider Identifier
1033432273
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
MARK JUDE TRAMO MD APC
Practice address
555 Marin St Ste 200
Thousand Oaks, CA 91360-4105
Phone
(805) 495-6702
Fax
(805) 495-6195
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mark J Tramo, M.D.NPI 1447232731
Title
Owner
Phone
(805) 495-6702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0008X Primary

Addresses

Primary practice location

555 Marin St Ste 200
Thousand Oaks, CA 91360-4105

Mailing address

2220 Lynn Rd Ste 303
Thousand Oaks, CA 91360-8003
Phone (805) 495-6702

Other identifiers 1

IdentifierTypeStateIssuer
G88591MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100803000240 CA Part B Supplier - Clinic/Group Practice 0446383095 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

2220 Lynn Rd
Ste 303
Thousand Oaks, CA 91360
Phone (805) 495-6702

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1033432273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 303",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608003",
            "telephone_number": "805-495-6702",
            "fax_number": "805-495-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604105",
            "telephone_number": "805-495-6702",
            "fax_number": "805-495-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JUDE TRAMO MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "TRAMO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-495-6702",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G88591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.