David Bjelica, M.D. a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A91484 Issued in CA

Legal business name

DAVID BJELICA, M.D. A MEDICAL CORPORATION

Practice address

555 Marin St
Ste. 120
Thousand Oaks, CA 91360-4236

Phone

(805) 449-1111

Fax

(805) 449-1136

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Bjelica, M.D.

Title

President

Phone

(805) 449-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1710202445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN ST",
            "address_2": "STE. 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604236",
            "telephone_number": "805-449-1111",
            "fax_number": "805-449-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST",
            "address_2": "STE. 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604236",
            "telephone_number": "805-449-1111",
            "fax_number": "805-449-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BJELICA, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "BJELICA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-449-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A91484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.