Individual provider Active NPI

Erin Demars Bagnall

  • Family Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1508745233
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037402 Issued in CA
Practice address
1534 N. Moorpark Rd. PO Box #256
PO Box 256
Thousand Oaks, CA 91360-5129
Phone
(310) 625-2257
NPI assigned
Aug 27, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95037402 CA Primary

Addresses

Primary practice location

1534 N. Moorpark Rd. PO Box #256
PO Box 256
Thousand Oaks, CA 91360-5129

Mailing address

1534 N. Moorpark Rd. PO Box #256
PO Box 256
Thousand Oaks, CA 91360-5129
Phone (310) 625-2257

Other names 1

  • Erin Summer Demars Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95037402CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1508745233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 N. MOORPARK RD. PO BOX #256",
            "address_2": "PO BOX 256",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "310-625-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 N. MOORPARK RD. PO BOX #256",
            "address_2": "PO BOX 256",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "310-625-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNALL",
        "first_name": "ERIN",
        "middle_name": "DEMARS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DEMARS",
            "middle_name": "SUMMER",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 20, 2025; 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.