Organization Active NPI

Oaks Surgical Suite, LLC

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1730558156
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OAKS SURGICAL SUITE, LLC
Practice address
558 Saint Charles Dr
Suite 200
Thousand Oaks, CA 91360-3903
Phone
(805) 379-2322
Fax
(805) 379-2373
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Russell W Nelson, MD
Title
Member
Phone
(805) 379-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

558 Saint Charles Dr
Suite 200
Thousand Oaks, CA 91360-3903

Mailing address

558 Saint Charles Dr
Suite 200
Thousand Oaks, CA 91360-3903
Phone (805) 379-2322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1730558156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-379-2322",
            "fax_number": "805-379-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-379-2322",
            "fax_number": "805-379-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS SURGICAL SUITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "805-379-2322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.