Active NPI
Philip L. Barry, MD
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1255330775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G20534
- Practice address
- 227 W Janss Rd
Suite 320
Thousand Oaks, CA 91360-1848 - Phone
- (805) 497-2500
- Fax
- (805) 497-2558
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G20534 | CA | Primary |
Addresses
Primary practice location
227 W Janss Rd
Suite 320
Thousand Oaks, CA 91360-1848
Mailing address
227 West Janss Road
Suite 320
Thousand Oaks, CA 91360-1870
Phone (805) 497-2500
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ47190Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 953173076 | Other | AETNA | |
| 953173076 | Other | CIGNA | |
| 953173076 | Other | BLUE CROSS | |
| 953173076 | Other | BLUE SHIELD | |
| 953173076 | Other | UNITED | |
| 953173076 | Other | AARP | |
| 953173076 | Other | PHCS | |
| 953173076 | Other | CCN | |
| 953173076 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20534 | CA | MD | Orthopaedic Surgery Physician |
| 20534 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1255330775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 WEST JANSS ROAD",
"address_2": "SUITE 320",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601870",
"telephone_number": "805-497-2500",
"fax_number": "805-497-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W JANSS RD",
"address_2": "SUITE 320",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601848",
"telephone_number": "805-497-2500",
"fax_number": "805-497-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "PHILIP",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G20534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ47190Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "953173076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "953173076",
"state": null
}
],
"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 May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.