Individual provider Active NPI

Deborah Lynn Deeley, MD

  • General Practice Physician
  • Westlake Village, CA
National Provider Identifier
1124336888
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G39604 Issued in CA
Practice address
3625 E Thousand Oaks Blvd Ste 220
Westlake Village, CA 91362-6940
Phone
(805) 494-3200
Fax
(805) 449-9248
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G39604 CA Primary

Addresses

Primary practice location

3625 E Thousand Oaks Blvd Ste 220
Westlake Village, CA 91362-6940

Mailing address

3625 E Thousand Oaks Blvd Ste 220
Westlake Village, CA 91362-6940
Phone (805) 494-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G39604CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Alternative Healthcare Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1124336888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 220",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626940",
            "telephone_number": "805-494-3200",
            "fax_number": "805-449-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 220",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626940",
            "telephone_number": "805-494-3200",
            "fax_number": "805-449-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEELEY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G39604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.