Organization Active NPI

Sherry Thomas a Professional Corporation

  • Gynecology Physician
  • Agoura Hills, CA
National Provider Identifier
1629250303
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C42670 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Sherry ThomasNPI 1932154580
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20080121000223 CA Part B Supplier - Clinic/Group Practice 8123109741 Receives reassigned benefits from 1 practitioner
Practice locations: Agoura Hills, CA; Oxnard, CA; Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.