Individual provider Active NPI

Deborah Palaski, RNP

  • Family Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1154455814
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350189 Issued in CA
Practice address
1 Amgen Center Dr
Occupational Health, BLDG. 10
Thousand Oaks, CA 91320-1730
Phone
(805) 447-8899
Fax
(805) 447-1953
NPI assigned
Mar 15, 2007
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350189 CA Primary

Addresses

Primary practice location

1 Amgen Center Dr
Occupational Health, BLDG. 10
Thousand Oaks, CA 91320-1730

Mailing address

1 Amgen Center Dr
Occupational Health, BLDG. 10
Thousand Oaks, CA 91320-1730
Phone (805) 447-8899

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090218000406 CA Practitioner - Nurse Practitioner 0446315808 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Feb 5, 2008 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 26, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 26, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 13, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 6, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 6, 2016 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

11600 Indian Hills Rd
#100103
Mission Hills, CA 91345

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

2791 Agoura Rd
Westlake Village, CA 91361
Phone (800) 523-4042

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1154455814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMGEN CENTER DR",
            "address_2": "OCCUPATIONAL HEALTH, BLDG. 10",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201730",
            "telephone_number": "805-447-8899",
            "fax_number": "805-447-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMGEN CENTER DR",
            "address_2": "OCCUPATIONAL HEALTH, BLDG. 10",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201730",
            "telephone_number": "805-447-8899",
            "fax_number": "805-447-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALASKI",
        "first_name": "DEBORAH",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "350189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4760 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.