Active NPI
Shawn Frederick Frazier
- Neonatal/Pediatric Certified Respiratory Therapist
- Thousand Oaks, CA
National Provider Identifier
1306400734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Certified Respiratory Therapist
- License
- 37654
- Practice address
- 215 W Janss Rd
Thousand Oaks, CA 91360-1847 - Phone
- (805) 497-2727
- NPI assigned
- May 1, 2019
- 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 |
|---|---|---|---|---|
| Neonatal/Pediatric Certified Respiratory Therapist | 2278P3900X | 37654 | CA | Primary |
Addresses
Primary practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
215 W Janss Rd
Thousand Oaks, CA 91360
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1306400734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W JANSS RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W JANSS RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601847",
"telephone_number": "805-497-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "SHAWN",
"middle_name": "FREDERICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2022-03-17",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2278P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
"state": "CA",
"license": "37654",
"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 Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.