Organization Active NPI

Digestive Health Center of Thousand Oaks, LLC

  • Endoscopy Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1174715445
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
DIGESTIVE HEALTH CENTER OF THOUSAND OAKS, LLC
Practice address
3510 N Moorpark Rd Ste 101
Thousand Oaks, CA 91360-2688
Phone
(805) 492-9000
Fax
(805) 492-4100
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Alister Augustus George, M.D.NPI 1821280629
Title
Manager/Medical Director
Phone
(805) 492-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X CA Primary

Addresses

Primary practice location

3510 N Moorpark Rd Ste 101
Thousand Oaks, CA 91360-2688

Mailing address

3510 N Moorpark Rd Ste 101
Thousand Oaks, CA 91360-2688
Phone (805) 492-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000157 CA Part B Supplier - Ambulatory Surgical Center 4981766185 Practice locations: Thousand Oaks, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Digestive Health Center of Thousand OaksCCN 05C0001862
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1072567Digestive Health Center3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

3510 N Moorpark Rd
Ste 1
Thousand Oaks, CA 91360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1174715445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N MOORPARK RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602688",
            "telephone_number": "805-492-9000",
            "fax_number": "805-492-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N MOORPARK RD STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602688",
            "telephone_number": "805-492-9000",
            "fax_number": "805-492-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH CENTER OF THOUSAND OAKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ALISTER",
        "authorized_official_middle_name": "AUGUSTUS",
        "authorized_official_title_or_position": "MANAGER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-492-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": null,
            "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 Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.