Organization Active NPI

Thousand Oaks Orthopeadic Group Inc P.C.

  • Orthopaedic Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1366610024
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C27645 Issued in CA
Legal business name
THOUSAND OAKS ORTHOPEADIC GROUP INC P.C.
Practice address
425 Haaland Dr
Suite 101
Thousand Oaks, CA 91361
Phone
(602) 298-2653
Fax
(602) 298-2686
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mr. Alexander Hersel, MD
Title
Partner
Phone
(602) 298-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C27645 CA Primary

Addresses

Primary practice location

425 Haaland Dr
Suite 101
Thousand Oaks, CA 91361

Mailing address

425 Haaland Dr
Suite 101
Thousand Oaks, CA 91361
Phone (602) 298-2653

National Provider Directory

National Provider Directory

Locations

141 Triunfo Canyon Rd
Ste 101
Westlake Village, CA 91361
Phone (805) 496-2229

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1366610024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "602-298-2653",
            "fax_number": "602-298-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "602-298-2653",
            "fax_number": "602-298-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND OAKS ORTHOPEADIC GROUP INC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HERSEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-298-2653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C27645",
            "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 Feb 15, 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.