Pierre Medical Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A66363 Issued in CA

Legal business name

PIERRE MEDICAL CORP

Practice address

325 Rolling Oaks Dr Ste 130
Thousand Oaks, CA 91361-1286

Phone

(805) 496-9190

Fax

(805) 496-9185

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Dee J Rendina

Title

Biller

Phone

(805) 496-9190

Specialties & licenses 1

Addresses

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 Corporation

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1124216684
  NPD tax ID

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
  NPD

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1154574242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR STE 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611286",
            "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": "325 ROLLING OAKS DR STE 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611286",
            "telephone_number": "805-496-9190",
            "fax_number": "805-496-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "RENDINA",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "J",
        "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": "CA",
            "license": "A66363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Leigh Phillips, LAC
• Physical Therapy 2U Corp
• Sheila Piala
• Scott D. Picker, M.D.
• Pierre Durand MD Inc.
• Pierre Medical Corporation
• Peterson Pierre, MD
• Esteban Pimentel Jr.
• Anna Rose Pinkerman
• Robert Pinkston, RPT

• 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 Nov 3, 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.