St Charles Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST CHARLES SURGICAL CENTER

Practice address

550 Saint Charles Dr
Suite 101
Thousand Oaks, CA 91360-3951

Phone

(805) 557-7050

Fax

(805) 557-4992

NPI assigned

Dec 17, 2015

Last updated

Dec 17, 2015By 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. James Thomas Lin, M.D.NPI 1821009580

Title

Ceo/Medical Director

Phone

(805) 557-7050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

St Charles Surgical CenterCCN 05C0002150

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

• James T. Lin, M.D.

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1821009580
  Authorized official Same address or phone

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1912362955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603951",
            "telephone_number": "805-557-7050",
            "fax_number": "805-557-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603951",
            "telephone_number": "805-557-7050",
            "fax_number": "805-557-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-557-7050",
        "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": []
}

• Tara Srinivasan
• SRS-Thousand Oaks (SRS-Thousand Oaks, LLC)
• St Charles Imaging Center
• St Charles Spine Institute
• St Charles Spine Institute
• Annette Dean St Marie, LMFT
• St. Charles Spine Institute
• Paige Camryn St. Clair
• Brooke Riley St. Johns
• Staff Assistance, Inc. (Assisted Healthcare Services)

• 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 Dec 17, 2015; 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.