Organization Active NPI

St Charles Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1396097929
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
ST CHARLES IMAGING CENTER
Practice address
558 St Charles Dr
111
Thousand Oaks, CA 91360-3903
Phone
(805) 230-2700
Fax
(805) 230-2750
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Dr. Erik C SpaydeNPI 1609818822
Title
Ceo
Phone
(805) 379-2322

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
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

558 St Charles Dr
111
Thousand Oaks, CA 91360-3903

Mailing address

558 St Charles Dr
111
Thousand Oaks, CA 91360-3903
Phone (805) 230-2700

Other practice location 1

1001 Newbury Rd
Thousand Oaks, CA 91320-6434
Phone (805) 379-2322 ext. 119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131209000739 CA Part B Supplier - Clinic/Group Practice 7810148137 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

558 Saint Charles Dr
Thousand Oaks, CA 91360
Phone (805) 230-2700

1001 Newbury Rd
Thousand Oaks, CA 91320
Phone (805) 375-7900

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": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1396097929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 ST CHARLES DR",
            "address_2": "111",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-230-2700",
            "fax_number": "805-230-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 ST CHARLES DR",
            "address_2": "111",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-230-2700",
            "fax_number": "805-230-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Newbury Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913206434",
            "country_code": "US",
            "telephone_number": "805-379-2322 x119",
            "fax_number": "805-379-6786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST CHARLES IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "SPAYDE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-379-2322",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "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 Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.