Oak Tree Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OAK TREE SURGICAL CENTER LLC

Practice address

2230 Lynn Rd
Suite 320
Thousand Oaks, CA 91360-1901

Phone

(805) 371-8400

Fax

(805) 371-8404

NPI assigned

Dec 22, 2009

Last updated

May 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahram Daneshgar, M.D.NPI 1730191875

Title

Owner

Phone

(805) 371-8404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Oak Tree Surgical Center LLCCCN 05C0001935

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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.

• Shahram Daneshgar, MD

  • Gastroenterology Physician
  • Thousand Oaks, CA
  • NPI 1730191875
  NPD Authorized official

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1831428861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD.",
            "address_2": "SUITE 320",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-371-8400",
            "fax_number": "805-371-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "SUITE 320",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-371-8400",
            "fax_number": "805-371-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "DANESHGAR",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-371-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela N/a O'Friel, RD
• Holly Garcia O'Hearn, PH.D.
• Carolann O'Rourke, AUD
• Anne Marie O'Sullivan, M.P.T.
• Oak Tree Pediatrics and More, a Medical Corporation
• Oaks Eye Center
• Oaks Pharm Inc (West Coast RX Pharmacy Thousand Oaks)
• Oaks Pharmacy LLC (Lynn Oaks Pharmacy)
• Oaks Private Home Care
• Oaks Surgical Suite, LLC

• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.