Individual provider Active NPI

Thomas A Vangeem, M.D.

  • Obstetrics & Gynecology Physician
  • Thousand Oaks, CA
National Provider Identifier
1801974779
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G54706 Issued in CA
Practice address
2220 Lynn Rd Ste 108
Thousand Oaks, CA 91360-8012
Phone
(805) 495-4545
Fax
(805) 495-0711
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G54706 CA Primary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X G54706 CA
Gynecology Physician 207VG0400X G54706 CA
Maternal & Fetal Medicine Physician 207VM0101X G54706 CA
Obstetrics Physician 207VX0000X G54706 CA

Addresses

Primary practice location

2220 Lynn Rd Ste 108
Thousand Oaks, CA 91360-8012

Mailing address

2220 Lynn Rd Ste 108
Thousand Oaks, CA 91360-8012
Phone (805) 495-4545

Other identifiers 1

IdentifierTypeStateIssuer
00G547060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000470 CA Practitioner - Obstetrics/Gynecology 4981615556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54706CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Van Geem M.D. Medical Obstetrics & Gynecology CurrentSince Jun 16, 2009 Accepting new patients

Locations

2220 Lynn Rd
Ste 108
Thousand Oaks, CA 91360
Phone (805) 495-4545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1801974779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608012",
            "telephone_number": "805-495-4545",
            "fax_number": "805-495-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608012",
            "telephone_number": "805-495-4545",
            "fax_number": "805-495-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEEM",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G54706",
            "primary": true
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "CA",
            "license": "G54706",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G54706",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G54706",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G54706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G547060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.