Individual provider Active NPI

Kolar N Murthy, M.D.

  • Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1043391220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A25176 Issued in CA
Practice address
2220 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-1904
Phone
(805) 495-6702
Fax
(805) 495-6195
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A25176 CA Primary

Addresses

Primary practice location

2220 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-1904

Mailing address

2220 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-1904
Phone (805) 495-6702

Other identifiers 1

IdentifierTypeStateIssuer
00A251760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25176CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Jude Tramo MD Apc PastSince Mar 15, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043391220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "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": "2220 LYNN RD",
            "address_2": "SUITE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-495-6702",
            "fax_number": "805-495-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "KOLAR",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A25176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A251760",
            "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 Jul 8, 2007; 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.