Organization Active NPI

Philip K. Frykman, M.D., Inc.

  • Pediatric Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1346733367
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
A87814 Issued in CA
Legal business name
PHILIP K. FRYKMAN, M.D., INC.
Practice address
2190 Lynn Rd Ste 200
Thousand Oaks, CA 91360-8020
Phone
(805) 372-8500
Fax
(805) 906-7812
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Philip Kent Frykman, MDNPI 1982688685
Title
President
Phone
(310) 429-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X A87814 CA Primary

Addresses

Primary practice location

2190 Lynn Rd Ste 200
Thousand Oaks, CA 91360-8020

Mailing address

PO Box 6284
Malibu, CA 90264-6284
Phone (805) 372-8500

Other names 1

  • Pacific Coast Pediatric Surgery, A Professional Corporation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1346733367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6284",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902646284",
            "telephone_number": "805-372-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608020",
            "telephone_number": "805-372-8500",
            "fax_number": "805-906-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP K. FRYKMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "FRYKMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-429-3560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A87814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Pediatric Surgery, A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2019; 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.