Kevin Andrew Dobbs, DNP/FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95021072 Issued in CA

Practice address

187 E Wilbur Rd Ste 100
Thousand Oaks, CA 91360-7925

Phone

(805) 492-1015

NPI assigned

May 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1492/brand/2/csg/21/fhir/r4
• Direct secure messaging: kevin.dobbs.1@1492.direct.athenahealth.com

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.

• Rosaasen Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Thousand Oaks, CA
  • NPI 1841636198
  Medicare reassignment NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1134867369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 BODIE AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654812",
            "telephone_number": "818-294-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607925",
            "telephone_number": "805-492-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jones Way Ste 8",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651217",
            "country_code": "US",
            "telephone_number": "805-210-5493",
            "fax_number": "805-210-5493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DNP/FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95021072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Center of Thousand Oaks, LLC
• Jesse Dingle, MD
• Discovery Practice Management, Inc.
• Maria Felicitas M Dizon, M.D.
• DLV Vision ASC, LLC
• Doctor Barry Lefkovitch Incorporated
• Doctors Wellness Company
• Laura Dodds, BCBA
• Jaspreet Kaur Dogra, PHARMD
• Meenakshi Dogra, DDS

• Primary Care Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.