Organization Active NPI

Bridget S Tester DPM Inc

  • Podiatrist
  • Thousand Oaks, CA
National Provider Identifier
1205045283
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4278 Issued in CA
Legal business name
BRIDGET S TESTER DPM INC
Practice address
3164 Boxwood Cir
Thousand Oaks, CA 91360-6387
Phone
(562) 260-3535
Fax
(805) 418-7090
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Bridget Susan Tester, D.P.M.NPI 1558584722
Title
Owner
Phone
(562) 260-3535

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4278 CA Primary

Addresses

Primary practice location

3164 Boxwood Cir
Thousand Oaks, CA 91360-6387

Mailing address

3164 Boxwood Cir
Thousand Oaks, CA 91360-6387
Phone (562) 260-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000904 CA Part B Supplier - Clinic/Group Practice 2567477847 Receives reassigned benefits from 1 practitioner
Practice locations: Pacific Grove, CA; Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

10884 Santa Monica Blvd
Ste 301
Los Angeles, CA 90025
Phone (310) 441-0088

Practitioners & affiliated clinicians

Practitioners 3

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1205045283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 BOXWOOD CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606387",
            "telephone_number": "562-260-3535",
            "fax_number": "805-418-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 BOXWOOD CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606387",
            "telephone_number": "562-260-3535",
            "fax_number": "805-418-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET S TESTER DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "TESTER",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-260-3535",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4278",
            "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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.