Individual provider Active NPI

Kari Lynn Odenath, PA-C

  • Surgical Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1497766273
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
18455 Issued in CA
Practice address
137 E. Thousad Oaks Blvd.
Thousand Oaks, CA 91360-5707
Phone
(805) 379-4574
Fax
(805) 379-4324
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 18455 CA Primary

Addresses

Primary practice location

137 E. Thousad Oaks Blvd.
Thousand Oaks, CA 91360-5707

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Other practice location 1

2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone (805) 527-1404

Other identifiers 1

IdentifierTypeStateIssuer
PA18455OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000805 CA Practitioner - Physician Assistant 4981706132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Orthopedics Medical Group IncGroup PAC ID 2062312911, 79 clinicians

Practice addresses (Care Compare)

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-4574

2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone (805) 527-1404

3525 Loma Vista Rd
Ventura, CA 93003-3165

Hospital & facility affiliations

  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jul 1, 2006 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Jul 1, 2006 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 585-5166

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

2525 Erringer Rd
Simi Valley, CA 93065
Phone (805) 527-1404

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1497766273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E. THOUSAD OAKS BLVD.",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605707",
            "telephone_number": "805-379-4574",
            "fax_number": "805-379-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Erringer Rd",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652352",
            "country_code": "US",
            "telephone_number": "805-527-1404",
            "fax_number": "805-527-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODENATH",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "18455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA18455",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.