Active NPI
Daniel C. Acevedo, M.D. Inc.
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1104654912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DANIEL C. ACEVEDO, M.D. INC.
- Practice address
- 258 Lombard St # 200
Thousand Oaks, CA 91360-5806 - Phone
- (805) 497-0817
- NPI assigned
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Acevedo, MD
- Title
- Ceo
- Phone
- (818) 632-0873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Orthopaedic Trauma Physician | 207XX0801X |
Addresses
Primary practice location
258 Lombard St # 200
Thousand Oaks, CA 91360-5806
Mailing address
23371 Mulholland Dr # 177
Woodland Hills, CA 91364-2734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A107668 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Other names 1
- ACE Orthopedic Institute
National Provider Directory
National Provider DirectoryLocations
258 Lombard St
#200
Thousand Oaks, CA 91360
Phone (805) 497-0817
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1184856122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1104654912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23371 MULHOLLAND DR # 177",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 LOMBARD ST # 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605806",
"telephone_number": "805-497-0817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL C. ACEVEDO, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "ACEVEDO",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-632-0873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A107668",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACE Orthopedic Institute",
"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 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.