Organization Active NPI

Michael N. Papanicolaou MD Inc

  • Cardiovascular Disease Physician
  • Newbury Park, CA
National Provider Identifier
1871085423
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43353 Issued in CA
Legal business name
MICHAEL N. PAPANICOLAOU MD INC
Practice address
1000 Newbury Rd Ste 180
Newbury Park, CA 91320-6440
Phone
(805) 480-2600
Fax
(805) 480-2677
NPI assigned
May 30, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mrs. Patti Serianne
Title
Manager
Phone
(805) 480-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A43353 CA Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 180
Newbury Park, CA 91320-6440

Mailing address

1000 Newbury Rd Ste 180
Newbury Park, CA 91320-6440
Phone (805) 480-2600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1871085423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 180",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206440",
            "telephone_number": "805-480-2600",
            "fax_number": "805-480-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 180",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206440",
            "telephone_number": "805-480-2600",
            "fax_number": "805-480-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N. PAPANICOLAOU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SERIANNE",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-480-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.