Patrick J Reiten, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G60737 Issued in CA

Practice address

415 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1046

Phone

(805) 495-9949

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437208345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611046",
            "telephone_number": "805-495-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611046",
            "telephone_number": "805-495-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITEN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G60737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of California (UCLA Integrated Provider Network)
• Stephen J. Reidy, M.D.
• Elizabeth Anne Reiss, M.S., CCC-SLP
• Paul C. Reisser, M.D.
• Teresa K. Reisser, LMFT
• Renaissance Asthetic Laser and Vein Institute, a Medical Corporation
• Reseda Prosthetics, Inc. (Empowered Prosthetics & Orthotics)
• Gordon Philip Reuben, MD
• Mary Ann Reveles
• Revlin Therapy Services

• Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.