Active NPI
Andrea M Pakula, MD Apc
- Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1245838697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568767960 | Other | CA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI 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.