Organization Active NPI

Andrea M Pakula, MD Apc

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1245838697
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ANDREA M PAKULA, MD APC
Practice address
77 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1019
Phone
(909) 224-9848
Fax
(805) 379-9695
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Dr. Andrea M Pakula, MD
Title
President / Ceo
Phone
(909) 224-9848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

77 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1019

Mailing address

77 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1019
Phone (909) 224-9848

Other identifiers 1

IdentifierTypeStateIssuer
1568767960OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1245838697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611019",
            "telephone_number": "909-224-9848",
            "fax_number": "805-379-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611019",
            "telephone_number": "909-224-9848",
            "fax_number": "805-379-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M PAKULA, MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "PAKULA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "909-224-9848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568767960",
            "state": "CA"
        }
    ],
    "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 16, 2020; 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.