Individual provider Active NPI

Dyan Cole, MD

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1225067812
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP00979 Issued in AZ
Practice address
3517 Sunset LN
Oxnard, CA 93035-4358
Phone
(805) 746-2781
NPI assigned
Jul 3, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67490 CA
Family Medicine Physician 207Q00000X TP00979 AZ Primary

Addresses

Primary practice location

3517 Sunset LN
Oxnard, CA 93035-4358

Mailing address

3517 Sunset LN
Oxnard, CA 93035-4358
Phone (805) 746-2781

Other identifiers 1

IdentifierTypeStateIssuer
00G674900MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000589 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 1951359348 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67490CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Agoura Hills Urgentocare PC CurrentSince Jan 1, 2022 Accepting new patients
Ventura Urgent Care Center Medical Corp CurrentSince Nov 1, 2023 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Sep 3, 2022 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Sep 3, 2022 Accepting new patients
Anaheim Urgent Care, Inc. Family Medicine Current Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Emergency Medical Services Group Past Accepting new patients

Locations

5825 Kanan Rd
Agoura Hills, CA 91301
Phone (424) 355-1963

5825 Kanan Rd
Ste B
Agoura Hills, CA 91301
Phone (424) 355-9163

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

475 E Avenida de los Arboles
Ste B
Thousand Oaks, CA 91360
Phone (818) 483-0885

5725 Ralston St
Ste 101
Ventura, CA 93003
Phone (805) 658-2273

Interoperability endpoints

  • Direct secure messaging: dyan.cole.1@29357.direct.athenahealth.com
  • Direct secure messaging: dyan.cole.p2@direct.mydohc.nextgenshare.com

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1225067812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 SUNSET LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930354358",
            "telephone_number": "805-746-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 SUNSET LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930354358",
            "telephone_number": "805-746-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67490",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "TP00979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G674900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.