Active NPI
Joseph Paul Woodard Jr., MD
- Pediatric Hematology & Oncology Physician
- Thousand Oaks, CA
National Provider Identifier
1790788347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- C53334
- Practice address
- 1 Amgen Center Dr
Ms: 38-3-a
Thousand Oaks, CA 91320-1730 - Phone
- (805) 447-2339
- NPI assigned
- May 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | C53334 | CA | Primary |
Addresses
Primary practice location
1 Amgen Center Dr
Ms: 38-3-a
Thousand Oaks, CA 91320-1730
Mailing address
2533 Vista Wood Cir Apt 14
Thousand Oaks, CA 91362-5703
Phone (650) 867-1985
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104670481 | Medicaid | MI | |
| 137421001 | Medicaid | AR | |
| 00120746 | Medicaid | MS | |
| 200236490A | Medicaid | IN | |
| 3897777 | Medicaid | TN | |
| 0149539 | Medicaid | MT | |
| 205030604 | Medicaid | MO | |
| 200377110A | Medicaid | KS | |
| 2122670 | Medicaid | OH | |
| 564949 | Medicaid | AZ | |
| 7612969 | Medicaid | NC | |
| 0529081 | Medicaid | IA | |
| 100034940A | Medicaid | OK | |
| 422400000 | Medicaid | ME | |
| 64712540 | Medicaid | KY | |
| 100249681-00 | Medicaid | NE | |
| 1429813 | Medicaid | LA | |
| 009913970 | Medicaid | AL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53334 | CA | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1790788347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 VISTA WOOD CIR APT 14",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913625703",
"telephone_number": "650-867-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMGEN CENTER DR",
"address_2": "MS: 38-3-A",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913201730",
"telephone_number": "805-447-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "CA",
"license": "C53334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104670481",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137421001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120746",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200236490A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3897777",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149539",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205030604",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200377110A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2122670",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564949",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7612969",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0529081",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100034940A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422400000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64712540",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249681-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429813",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913970",
"state": "AL"
}
],
"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 19, 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.