Individual provider Active NPI

Philip Kent Frykman, M.D.

  • Pediatric Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1982688685
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
A87814 Issued in CA
Practice address
2190 Lynn Rd Ste 200
Thousand Oaks, CA 91360-8020
Phone
(805) 372-8500
Fax
(805) 906-7812
NPI assigned
Dec 6, 2005
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X A87814 CA Primary

Addresses

Primary practice location

2190 Lynn Rd Ste 200
Thousand Oaks, CA 91360-8020

Mailing address

PO Box 6284
Malibu, CA 90264-6284
Phone (805) 372-8500

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

State licenses

LicenseStateTypeSpecialty
A87814CAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philip K. Frykman, M.D., Inc. Pediatric Surgery Current Accepting new patients

Locations

2190 Lynn Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 372-8500

Interoperability endpoints

  • Direct secure messaging: philip.frykman@142300852846596.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1982688685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6284",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902646284",
            "telephone_number": "805-372-8500",
            "fax_number": "805-495-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608020",
            "telephone_number": "805-372-8500",
            "fax_number": "805-906-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKMAN",
        "first_name": "PHILIP",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A87814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.