Active NPI
Kofi Kessey MD/PHD Inc. a California Professional Medical Corporation
- Neurological Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1053677914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A94613
- Legal business name
- KOFI KESSEY MD/PHD INC. A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 351 Rolling Oaks Dr
Suite 204
Thousand Oaks, CA 91361-1275 - Phone
- (805) 379-3368
- Fax
- (805) 379-3360
- NPI assigned
- Apr 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kofi Kessey, M.D.
- Title
- President
- Phone
- (805) 850-5999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A94613 | CA | Primary |
Addresses
Primary practice location
351 Rolling Oaks Dr
Suite 204
Thousand Oaks, CA 91361-1275
Mailing address
351 Rolling Oaks Dr
Suite 204
Thousand Oaks, CA 91361-1275
Phone (805) 379-3368
National Provider Directory
National Provider DirectoryLocations
351 Rolling Oaks Dr
Ste 204
Thousand Oaks, CA 91361
Phone (805) 379-3368
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Thousand Oaks, CA
- NPI 1417919721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1053677914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 ROLLING OAKS DR",
"address_2": "SUITE 204",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611275",
"telephone_number": "805-379-3368",
"fax_number": "805-379-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 ROLLING OAKS DR",
"address_2": "SUITE 204",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611275",
"telephone_number": "805-379-3368",
"fax_number": "805-379-3360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOFI KESSEY MD/PHD INC. A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "KESSEY",
"authorized_official_first_name": "KOFI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-850-5999",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A94613",
"primary": true
}
],
"identifiers": [],
"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 Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.