Individual provider Active NPI

Andrea Pakula, M.D.

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1568767960
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A114029 Issued in CA
Practice address
375 Rolling Oaks Dr Ste 115
Thousand Oaks, CA 91361-1000
Phone
(805) 852-0852
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 57032 MN
Surgery Physician 208600000X A114029 CA Primary
Surgical Critical Care Physician 2086S0102X 106797 MN

Addresses

Primary practice location

375 Rolling Oaks Dr Ste 115
Thousand Oaks, CA 91361-1000

Mailing address

375 Rolling Oaks Dr Ste 115
Thousand Oaks, CA 91361-1000
Phone (805) 852-0852

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000134 CA Practitioner - General SurgeryPractitioner - Other (Physician) 1052551371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

2985 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 584-6611

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)44
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114029CAMDSurgery Physician
57032MNMDSurgical Critical Care Physician
106797MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Oct 16, 2020 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 16, 2020 Accepting new patients
Oaks Surgical Specialists, a Medical Corporation Surgery CurrentSince Jun 1, 2019 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Clarity Surgical Group a Professional Medical Corporation Surgery Past Accepting new patients
Walid S Arnaout MD a Medical Corporation Surgery Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

2750 Sycamore Dr
Ste 210
Simi Valley, CA 93065
Phone (805) 520-2663

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

77 Rolling Oaks Dr
Ste 203
Thousand Oaks, CA 91361
Phone (805) 379-9696

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568767960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611000",
            "telephone_number": "805-852-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611000",
            "telephone_number": "805-852-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKULA",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MN",
            "license": "57032",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A114029",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MN",
            "license": "106797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.