Individual provider Active NPI

Katrina S. Babcock, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
National Provider Identifier
1073590196
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A7803 Issued in CA
Practice address
325 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1085
Phone
(805) 379-9911
Fax
(805) 379-0557
NPI assigned
Dec 29, 2005
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A7803 CA Primary

Addresses

Primary practice location

325 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1085

Mailing address

23242 Hatteras St
Woodland Hills, CA 91367-3118
Phone (805) 379-9911

Other names 1

  • Dr. Katrina Spears Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000343 CA Practitioner - Physical Medicine and Rehabilitation 0244269256 Reassigns benefits to 1 organization
Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio University, College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 Rolling Oaks Dr
Suite 220
Thousand Oaks, CA 91361-1085
Phone (805) 379-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Spears Babcock DO PC Physical Medicine & Rehabilitation CurrentSince Apr 8, 2024 Accepting new patients

Locations

325 Rolling Oaks Dr
Ste 220
Thousand Oaks, CA 91361
Phone (805) 379-9911

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1073590196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23242 HATTERAS ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673118",
            "telephone_number": "805-379-9911",
            "fax_number": "805-230-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611085",
            "telephone_number": "805-379-9911",
            "fax_number": "805-379-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "KATRINA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A7803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "SPEARS",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.