Harry S Menco MD , Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A41745 Issued in CA

Legal business name

HARRY S MENCO MD , INC

Practice address

227 W Janss Rd
Suite 310
Thousand Oaks, CA 91360-1848

Phone

(805) 496-2949

Fax

(805) 496-1844

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Nicole McCracken

Title

Medical Assistant

Phone

(805) 496-2949

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1629386594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 310",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-2949",
            "fax_number": "805-496-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 310",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-2949",
            "fax_number": "805-496-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY S MENCO MD , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "805-496-2949",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A41745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A41745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric A Harouni, DC
• Matthew Patrick Harper, LMFT
• Christine Anne Harrington, LMFT, LIC. #88813
• Ryan Daniel Harris, MS
• Harry J Cozen, M.D., AMC
• Harry S. Menco, M.D., Inc.
• Debbie Ray Hartke, LMT
• Bridget Downey Hartman, M.D.
• Lauren K Hartnett
• Harvey I. Wallack, MD, a Medical Corporation

• Preferred Provider Organization in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.