Organization Active NPI

Lauren a. Poliakin, M.D., a Professional Medical Corporation

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1760097984
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LAUREN A. POLIAKIN, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
227 W Janss Rd Ste 300
Thousand Oaks, CA 91360-1885
Phone
(805) 497-8820
NPI assigned
Sep 14, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Lauren A Poliakin, MDNPI 1790162733
Title
Owner
Phone
(805) 497-8820

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU

Addresses

Primary practice location

227 W Janss Rd Ste 300
Thousand Oaks, CA 91360-1885

Mailing address

227 W Janss Rd Ste 300
Thousand Oaks, CA 91360-1885
Phone (805) 497-8820

National Provider Directory

National Provider Directory

Locations

227 W Janss Rd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 497-7815

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1760097984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601885",
            "telephone_number": "805-497-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601885",
            "telephone_number": "805-497-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN A. POLIAKIN, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "POLIAKIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-497-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 15, 2020; 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.