NPIMap

Organization Active NPI

Kenneth L Saul MD, Inc.

Doing business as North Oaks Pediatric Medical Associates

  • Pediatrics Physician
  • Thousand Oaks, CA
National Provider Identifier
1427179969
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G43044 Issued in CA
Legal business name
KENNETH L SAUL MD, INC.
Doing business as
North Oaks Pediatric Medical Associates
Practice address
425 Haaland Drive
#104
Thousand Oaks, CA 91361-3003
Phone
(805) 494-1948
Fax
(805) 494-1947
NPI assigned
Apr 3, 2007
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Kenneth L Saul, M.D.NPI 1760453401
Title
Owner
Phone
(805) 494-1948

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
Pediatrics Physician 208000000X G43044 CA Primary

Addresses

Primary practice location

425 Haaland Drive
#104
Thousand Oaks, CA 91361-3003

Mailing address

425 Haaland Drive
#104
Thousand Oaks, CA 91361-3003
Phone (805) 494-1948

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ564032OtherCABLUE SHIELD - CA

Other names 1

  • North Oaks Pediatric Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

425 Haaland Dr
Ste 104
Thousand Oaks, CA 91361
Phone 8054941948 ext. 41948

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1427179969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DRIVE",
            "address_2": "#104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913613003",
            "telephone_number": "805-494-1948",
            "fax_number": "805-494-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DRIVE",
            "address_2": "#104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913613003",
            "telephone_number": "805-494-1948",
            "fax_number": "805-494-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L SAUL MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-494-1948",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G43044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - CA",
            "identifier": "ZZZ564032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oaks Pediatric Medical Associates",
            "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 Mar 7, 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.