Active NPI
Pamela N/a O'Friel, RD
- Renal Nutrition Registered Dietitian
- Thousand Oaks, CA
National Provider Identifier
1700815990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 805535
- Practice address
- 227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848 - Phone
- (805) 496-6051
- Fax
- (805) 496-6785
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 805535 | IL | Primary |
Addresses
Primary practice location
227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848
Mailing address
PO Box 940838
Simi Valley, CA 93094-0838
Phone (805) 433-7777
Other names 1
- Pamela N/a Gold
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805535 | IL | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700815990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940838",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930940838",
"telephone_number": "805-433-7777",
"fax_number": "805-433-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W JANSS RD",
"address_2": "SUITE 110",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601848",
"telephone_number": "805-496-6051",
"fax_number": "805-496-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'FRIEL",
"first_name": "PAMELA",
"middle_name": "N/A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "805535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "GOLD",
"middle_name": "N/A",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.