Oak Tree Pediatrics and More, a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G53744 Issued in CA

Legal business name

OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION

Practice address

430 Avenida de Los Arboles Ste 201
Thousand Oaks, CA 91360-3017

Phone

(805) 493-1964

Fax

(805) 241-5382

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Russell Thomas Spadaro, MD

Title

President

Phone

(805) 493-1964

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1689846297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603017",
            "telephone_number": "805-493-1964",
            "fax_number": "805-241-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603017",
            "telephone_number": "805-493-1964",
            "fax_number": "805-241-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SPADARO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-493-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80637",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G53744",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G57371",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "G55882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey O'Brien
• Pamela N/a O'Friel, RD
• Holly Garcia O'Hearn, PH.D.
• Carolann O'Rourke, AUD
• Anne Marie O'Sullivan, M.P.T.
• Oak Tree Surgical Center LLC
• Oaks Eye Center
• Oaks Pharm Inc (West Coast RX Pharmacy Thousand Oaks)
• Oaks Pharmacy LLC (Lynn Oaks Pharmacy)
• Oaks Private Home Care

• Pediatrics Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.