Alister a. George, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G63795 Issued in CA

Legal business name

ALISTER A. GEORGE, M.D., INC.

Practice address

509 Marin St
Suite 134
Thousand Oaks, CA 91360-4261

Phone

(805) 495-9488

Fax

(805) 495-9951

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Evangeline Deasis

Title

Billing Officer

Phone

(805) 495-9488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1992852024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE 134",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-495-9488",
            "fax_number": "805-495-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE 134",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-495-9488",
            "fax_number": "805-495-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISTER A. GEORGE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "DEASIS",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "805-495-9488"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G63795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.