Organization Active NPI

Springbok Medical Group Inc

  • Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1417923400
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPRINGBOK MEDICAL GROUP INC
Doing business as
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
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Mrs. Lynette Myfanwy Henriod
Title
Practice Adminstrator
Phone
(805) 495-6866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

620 E Janss Rd
Thousand Oaks, CA 91360-5113

Mailing address

620 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone (805) 495-6866

Other names 1

  • Thousand Oaks Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

620 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 495-6866

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1417923400",
    "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": "SPRINGBOK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MYFANWY",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "805-495-6866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Oaks Urgent Care",
            "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 Jun 4, 2012; 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.