Spears Babcock DO PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPEARS BABCOCK DO PC

Practice address

325 Rolling Oaks Dr Ste 220
Thousand Oaks, CA 91361-1085

Phone

(805) 379-9911

Fax

(805) 379-0557

NPI assigned

Jun 23, 2023

Organization subpart

Yes

Parent organization

SPEARS BABCOCK DO PCAs reported in NPPES

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

Authorized official

Name

Katrina Spears Babcock, DO

Title

Owner/President/Director

Phone

(805) 379-9911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Spears Babcock DO PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina S. Babcock, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
  • NPI 1073590196
  Medicare reassignment NPD
• Susan Diballa, D.C.

  • Chiropractor
  • Westlake Village, CA
  • NPI 1154454288
  NPD (past)

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1992481089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23242 HATTERAS ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673118",
            "telephone_number": "805-379-9911",
            "fax_number": "805-379-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611085",
            "telephone_number": "805-379-9911",
            "fax_number": "805-379-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARS BABCOCK DO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPEARS BABCOCK DO PC",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SPEARS BABCOCK",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "805-379-9911",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.