Jeffrey L Sycamore MD a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C36327 Issued in CA

Legal business name

JEFFREY L SYCAMORE MD A PROFESSIONAL CORPORATION

Practice address

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Phone

(805) 370-4521

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L. Sycamore, M.D.

Title

Owner

Phone

(310) 471-5852

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1114938933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847",
            "telephone_number": "805-370-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L SYCAMORE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "SYCAMORE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-471-5852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C36327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052481",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer L. Graves, D.D.S., Inc.

• Anesthesiology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.