Organization Active NPI

Darren Osterloh OD Inc

  • Optometrist
  • Westlake Village, CA
National Provider Identifier
1487020483
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9922 Issued in CA
Legal business name
DARREN OSTERLOH OD INC
Practice address
3900 E Thousand Oaks Blvd
Suite 203
Westlake Village, CA 91362-3654
Phone
(805) 777-8888
NPI assigned
Aug 13, 2015
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Darren Osterloh, ODNPI 1124076849
Title
Doctor/Owner
Phone
(805) 777-8888

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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT9922 CA Primary

Addresses

Primary practice location

3900 E Thousand Oaks Blvd
Suite 203
Westlake Village, CA 91362-3654

Mailing address

3900 E Thousand Oaks Blvd
Suite 203
Westlake Village, CA 91362-3654
Phone (805) 777-8888

Other names 1

  • DARREN F OSTERLOH Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151111000602 CA Part B Supplier - Clinic/Group Practice 7517277189 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

3900 E Thousand Oaks Blvd
Ste 203
Westlake Village, CA 91362
Phone (805) 777-8888

Practitioners & affiliated clinicians

Practitioners 1

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1487020483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 203",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623654",
            "telephone_number": "805-777-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 203",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623654",
            "telephone_number": "805-777-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN OSTERLOH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "OSTERLOH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "805-777-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DARREN F OSTERLOH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.