Active NPI
Lawrence I. Spinner, M.D.
- Pediatric Adolescent Medicine Physician
- Thousand Oaks, CA
National Provider Identifier
1093075129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- G57371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G57371 | CA | MD | Pediatric 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.