Organization Active NPI

John M Delgado MD Inc

  • Orthopaedic Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1730564865
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
136480 Issued in CA
Legal business name
JOHN M DELGADO MD INC
Practice address
375 Rolling Oaks Dr
Ste 200
Thousand Oaks, CA 91361-1027
Phone
(805) 497-9481
Fax
(805) 497-9001
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
John M. Delgado, M.D.NPI 1225204845
Title
President
Phone
(805) 497-9481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 136480 CA Primary

Addresses

Primary practice location

375 Rolling Oaks Dr
Ste 200
Thousand Oaks, CA 91361-1027

Mailing address

375 Rolling Oaks Dr
Ste 200
Thousand Oaks, CA 91361-1027
Phone (805) 497-9481

Other identifiers 1

IdentifierTypeStateIssuer
C136480OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150924003338 CA Part B Supplier - Clinic/Group Practice 0042528010 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1730564865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611027",
            "telephone_number": "805-497-9481",
            "fax_number": "805-497-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611027",
            "telephone_number": "805-497-9481",
            "fax_number": "805-497-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M DELGADO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-9481",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "136480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C136480",
            "state": "CA"
        }
    ],
    "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 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.