Thousand Oaks Vein Clinic PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

THOUSAND OAKS VEIN CLINIC PC

Practice address

225 N Moorpark Rd Ste C
Thousand Oaks, CA 91360-4320

Phone

(847) 593-8460

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Flora Katsnelson, M.D.

Title

Owner

Phone

(847) 772-0089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1437638517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MOORPARK RD STE C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604320",
            "telephone_number": "847-593-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND OAKS VEIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-772-0089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thousand Oaks Surgical Hospital a California Limited Partnership (Thousand Oaks Surgical Hospital)
• Thousand Oaks Surgical Institute, a.M.C
• Thousand Oaks Urgent Care
• Thrifty Payless Inc (Rite Aid Pharmacy 05560)
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• Thrive Revival DNP Nursing Inc
• Thriveworks Clinical - California PC
• Jane Yuan Tian, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.