Christopher Costanzo M D Inc

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

G46454 Issued in CA

Legal business name

CHRISTOPHER COSTANZO M D INC

Practice address

2190 Lynn Rd
Suite 380
Thousand Oaks, CA 91360-1980

Phone

(805) 373-9919

Fax

(805) 379-3495

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Costanzo, MD

Title

President

Phone

(805) 373-9919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1114199163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 380",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-373-9919",
            "fax_number": "805-379-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 380",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-373-9919",
            "fax_number": "805-379-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER COSTANZO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-373-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G46454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G46454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery of the Hand (Plastic Surgery) Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.