Organization Active NPI

Brian Slywka,M.D.,a Professional Corporation

  • Plastic Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1174670061
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C36499 Issued in CA
Legal business name
BRIAN SLYWKA,M.D.,A PROFESSIONAL CORPORATION
Practice address
351 Rolling Oaks Dr
Suite 101
Thousand Oaks, CA 91361-1275
Phone
(805) 497-1105
Fax
(805) 497-6144
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Brian H Slywka, M.D.
Title
President
Phone
(805) 497-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X C36499 CA Primary

Addresses

Primary practice location

351 Rolling Oaks Dr
Suite 101
Thousand Oaks, CA 91361-1275

Mailing address

351 Rolling Oaks Dr
Suite 101
Thousand Oaks, CA 91361-1275
Phone (805) 497-1105

National Provider Directory

National Provider Directory

Locations

351 Rolling Oaks Dr
Ste 101
Thousand Oaks, CA 91361
Phone (805) 449-4194

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1174670061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611275",
            "telephone_number": "805-497-1105",
            "fax_number": "805-497-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611275",
            "telephone_number": "805-497-1105",
            "fax_number": "805-497-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN SLYWKA,M.D.,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SLYWKA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-1105",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C36499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.