Pierre Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PIERRE MEDICAL CORPORATION

Practice address

77 Rolling Oaks Dr Ste 207
Thousand Oaks, CA 91361-1019

Phone

(805) 496-9190

Fax

(805) 496-9185

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Doug McKenney

Title

Biller

Phone

(805) 496-9190

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Pierre Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pierre Medical Corp

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1154574242
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peterson Pierre, MD

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1073663886

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1124216684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 207",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611019",
            "telephone_number": "805-496-9190",
            "fax_number": "805-496-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 207",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611019",
            "telephone_number": "805-496-9190",
            "fax_number": "805-496-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "805-496-9190"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@pierreskincare.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "77 Rolling Oaks Dr Ste 207",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913611019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physical Therapy 2U Corp
• Sheila Piala
• Scott D. Picker, M.D.
• Pierre Durand MD Inc.
• Pierre Medical Corp
• Peterson Pierre, MD
• Esteban Pimentel Jr.
• Anna Rose Pinkerman
• Robert Pinkston, RPT
• Melissa Pinlac, BA, QASP-S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.