NPIMap

Individual provider Active NPI

Elise L Bukont, D.O.

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1851449888
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9458 Issued in CA
Practice address
2230 Lynn Rd Ste 200
Thousand Oaks, CA 91360-1900
Phone
(805) 495-1066
Fax
(805) 497-1428
NPI assigned
Jan 8, 2007
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9458 CA Primary

Addresses

Primary practice location

2230 Lynn Rd Ste 200
Thousand Oaks, CA 91360-1900

Mailing address

2230 Lynn Rd Ste 200
Thousand Oaks, CA 91360-1900
Phone (805) 495-1066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000236 CA Practitioner - Family Practice 2264561224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Oaks Medical Associates IncGroup PAC ID 7416922141, 11 clinicians

Practice addresses (Care Compare)

2230 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1900
Phone 80549510665000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9458CAMDFamily Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thousand Oaks Post Acute, LLCThousand Oaks, CA, CCN 055342 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Mar 28, 2025
Buena Vista HospiceThousand Oaks, CA, CCN 051787 Hospice W-2 Managing Employee Oct 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1851449888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601900",
            "telephone_number": "805-495-1066",
            "fax_number": "805-497-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601900",
            "telephone_number": "805-495-1066",
            "fax_number": "805-497-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKONT",
        "first_name": "ELISE",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.