Active NPI
St Charles Spine Institute
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
National Provider Identifier
1306762273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ST CHARLES SPINE INSTITUTE
- Practice address
- 1001 Newbury Rd
Thousand Oaks, CA 91320-6434 - Phone
- (805) 379-2322
- NPI assigned
- Jun 25, 2026
- 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
- Monica Fandino
- Title
- Billing Manager
- Phone
- (805) 379-2322
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
1001 Newbury Rd
Thousand Oaks, CA 91320-6434
Mailing address
1001 Newbury Rd
Thousand Oaks, CA 91320-6434
Phone (805) 379-2322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1609818822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1306762273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NEWBURY RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913206434",
"telephone_number": "805-379-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NEWBURY RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913206434",
"telephone_number": "805-379-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CHARLES SPINE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "FANDINO",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "805-379-2322"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.