Individual provider Active NPI

Stephen Michael Danielsen, N.D.

  • Naturopath
  • Thousand Oaks, CA
National Provider Identifier
1538387170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-118 Issued in CA
Practice address
299 W Hillcrest Dr
Suite 117
Thousand Oaks, CA 91360-4264
Phone
(805) 857-0749
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-118 CA Primary

Addresses

Primary practice location

299 W Hillcrest Dr
Suite 117
Thousand Oaks, CA 91360-4264

Mailing address

299 W Hillcrest Dr
Suite 117
Thousand Oaks, CA 91360-4264
Phone (805) 857-0749

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
ND-118CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538387170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR",
            "address_2": "SUITE 117",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604264",
            "telephone_number": "805-857-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR",
            "address_2": "SUITE 117",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604264",
            "telephone_number": "805-857-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSEN",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.