Active NPI
Sherry Thomas a Professional Corporation
- Gynecology Physician
- Agoura Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C42670
- Legal business name
- SHERRY THOMAS A PROFESSIONAL CORPORATION
- Practice address
- 29525 Canwood St
Suite 211
Agoura Hills, CA 91301-4233 - Phone
- (818) 991-0988
- Fax
- (818) 991-0918
- NPI assigned
- Dec 4, 2007
- Last updated
- Mar 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Thomas
- Title
- Ceo
- Phone
- (818) 766-9881
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C42670 | CA | Primary |
| Urology Physician | 208800000X | C42670 | CA |
Addresses
Primary practice location
29525 Canwood St
Suite 211
Agoura Hills, CA 91301-4233
Mailing address
PO Box 1251
Agoura Hills, CA 91376-1251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
29525 Canwood St
Ste 311
Agoura Hills, CA 91301
Phone (818) 991-0988
1220 La Venta Dr
Ste 207
Westlake Vlg, CA 91361
Phone (805) 494-7710
Practitioners & affiliated clinicians
Practitioners 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520380800000",
"number": "1629250303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1251",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913761251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29525 CANWOOD ST",
"address_2": "SUITE 211",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014233",
"telephone_number": "818-991-0988",
"fax_number": "818-991-0918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRY THOMAS A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-04",
"last_updated": "2018-03-07",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-766-9881"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "C42670",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C42670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.