Individual provider Active NPI

Lawrence I. Spinner, M.D.

  • Pediatric Adolescent Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1093075129
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G57371 Issued in CA
Practice address
430 Avenida de Los Arboles
Suite 201
Thousand Oaks, CA 91360-3003
Phone
(805) 493-1964
Fax
(805) 241-5382
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X G57371 CA Primary

Addresses

Primary practice location

430 Avenida de Los Arboles
Suite 201
Thousand Oaks, CA 91360-3003

Mailing address

430 Avenida de Los Arboles
Suite 201
Thousand Oaks, CA 91360-3003
Phone (805) 493-1964

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G57371CAMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1093075129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603003",
            "telephone_number": "805-493-1964",
            "fax_number": "805-241-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603003",
            "telephone_number": "805-493-1964",
            "fax_number": "805-241-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNER",
        "first_name": "LAWRENCE",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G57371",
            "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 May 30, 2012; 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.