Organization Active NPI

Kofi Kessey MD/PHD Inc. a California Professional Medical Corporation

  • Neurological Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1053677914
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A94613 Issued in CA
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

Updated by the provider on Jan 16, 2013

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.