Individual provider Active NPI

Thomas C Giannulli, MS, MS

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1861637027
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52458 Issued in CA
Practice address
4195 E Thousand Oaks Blvd Ste 135
Westlake Village, CA 91362-7233
Phone
(805) 504-2813
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C52458 CA Primary

Addresses

Primary practice location

4195 E Thousand Oaks Blvd Ste 135
Westlake Village, CA 91362-7233

Mailing address

4195 E Thousand Oaks Blvd Ste 135
Westlake Village, CA 91362-7233
Phone (805) 504-2813

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, Master of Science

State licenses

LicenseStateTypeSpecialty
C52458CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1861637027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 E THOUSAND OAKS BLVD STE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627233",
            "telephone_number": "805-504-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 E THOUSAND OAKS BLVD STE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627233",
            "telephone_number": "805-504-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNULLI",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.