Thousand Oaks Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01263 Issued in CA

Legal business name

THOUSAND OAKS URGENT CARE

Practice address

620 E Janss Rd
Thousand Oaks, CA 91360-5113

Phone

(805) 495-6866

Fax

(805) 495-8085

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lynette Henriod

Title

Practice Manager/Administrator

Phone

(805) 495-6866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407852015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605113",
            "telephone_number": "805-495-6866",
            "fax_number": "805-495-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605113",
            "telephone_number": "805-495-6866",
            "fax_number": "805-495-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND OAKS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-495-6866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "01263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thousand Oaks Pathology Associates Inc a Medical Group
• Thousand Oaks Post Acute, LLC
• Thousand Oaks Surgery Center, LLC
• Thousand Oaks Surgical Hospital a California Limited Partnership
• Thousand Oaks Surgical Institute, a.M.C
• Thousand Oaks Vein Clinic PC
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrive Revival DNP Nursing Inc
• Thriveworks Clinical - California PC

• Family Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.