Destiny Verrette

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

1780911727 Issued in CA

Practice address

501 Marin St Ste 225
Thousand Oaks, CA 91360-4301

Phone

(805) 725-0649

NPI assigned

May 12, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1992633515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 CALLE BUENA VIS",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 225",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604301",
            "telephone_number": "805-725-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETTE",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "1780911727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabha Venugopal, MD
• Jessica Marie Vera
• Michael T. Vercillo, M.D.
• Devin Kishore Verma, AMFT
• Rachel Veroni Wooff
• Hadley Veselak, NP
• Vesper Healthcare, Inc. (Buena Vista Hospice)
• Vida Revival LLC
• Vida Revival Medical Corporation
• Michelle Carino Viernes, MD, BSMT

• Developmental - Behavioral Pediatrics Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.