NPIMap

Organization Active NPI

Per-SE Technologies

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1093841033
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PER-SE TECHNOLOGIES
Doing business as
MCKESSON PROVIDER TECHNOLOGIES
Practice address
1525 Rancho Conejo Blvd
Suite 201
Thousand Oaks, CA 91320-1448
Phone
(805) 375-8800
Fax
(805) 375-8900
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Cheryl Lynn Wilson
Title
Director of Operations
Phone
(805) 375-8801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X CA Primary

Addresses

Primary practice location

1525 Rancho Conejo Blvd
Suite 201
Thousand Oaks, CA 91320-1448

Mailing address

1525 Rancho Conejo Blvd
Suite 201
Thousand Oaks, CA 91320-1448
Phone (805) 375-8800

Other names 1

  • MCKESSON PROVIDER TECHNOLOGIES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1093841033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RANCHO CONEJO BLVD",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201448",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RANCHO CONEJO BLVD",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201448",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER-SE TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "805-375-8801"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKESSON PROVIDER TECHNOLOGIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2008; 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.