Organization Active NPI

Spadaro & Weisz a Medical Corporation

  • Pediatrics Physician
  • Thousand Oaks, CA
National Provider Identifier
1356511398
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G55882 Issued in CA
Legal business name
SPADARO & WEISZ A MEDICAL CORPORATION
Practice address
430 Avenida de Los Arboles Ste 201
Thousand Oaks, CA 91360-3017
Phone
(805) 493-1964
Fax
(805) 492-0664
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Betsy Weisz, M.D.NPI 1508838749
Title
President
Phone
(805) 493-1964

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X G55882 CA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A80637 CA

Addresses

Primary practice location

430 Avenida de Los Arboles Ste 201
Thousand Oaks, CA 91360-3017

Mailing address

430 Avenida de Los Arboles Ste 201
Thousand Oaks, CA 91360-3017
Phone (805) 493-1964

National Provider Directory

National Provider Directory

Locations

430 E Avenida de los Arboles
Ste 201
Thousand Oaks, CA 91360
Phone (805) 493-1964

2125 E Thousand Oaks Blvd
Ste B1
Thousand Oaks, CA 91362

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1356511398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603017",
            "telephone_number": "805-493-1964",
            "fax_number": "805-492-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603017",
            "telephone_number": "805-493-1964",
            "fax_number": "805-492-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADARO & WEISZ A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "WEISZ",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-493-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G55882",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A80637",
            "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 Mar 5, 2008; 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.