PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC (NPI# 1013195965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013195965 |
| Entity Type | Organization |
| Organization Name | PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC |
| Practice Address |
351 Rolling Oaks Dr Suite 104 Thousand Oaks CA 91361-1275 |
| Practice Telephone | 8054914008 |
| Mailing Telephone | 8054914008 |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-02-02 |
| Authorized Official Name | LUGA PODESTA (PRESIDENT) |
| Authorized Official Telephone | 8054914008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
A46655 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
351 ROLLING OAKS DR SUITE 104 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215979844 | Cse Medical Group Inc. | Ophthalmology | 351 Rolling Oaks Dr, 102, Thousand Oaks, CA 91361-1275 | 2006-06-11 |
| 1922426451 | Ruijun Su | Pathology | 351 Rolling Oaks Dr, Thousand Oaks, CA 91361-1275 | 2014-04-02 |
| 1144665951 | Joshua Isaac Segal | Pathology | 351 Rolling Oaks Dr, Thousand Oaks, CA 91361-1275 | 2013-05-07 |
| 1053677914 | Kofi Kessey Md/phd Inc. A California Professional Medical Corporation | Neurological Surgery | 351 Rolling Oaks Dr, Suite 204, Thousand Oaks, CA 91361-1275 | 2012-04-04 |
| 1982996294 | Cuauhtemoc Magana | Pathology | 351 Rolling Oaks Dr, Thousand Oaks, CA 91361-1275 | 2011-05-04 |
| 1891025896 | Danielle E. Westfall | Pathology | 351 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1275 | 2010-01-13 |
| 1124262506 | Eric Jeffrey Broxham | Pathology | 351 Rolling Oaks Dr, Thousand Oaks, CA 91361-1275 | 2009-04-29 |
| 1326286287 | Orr Limpisvasti Md Inc | Orthopaedic Surgery | 351 Rolling Oaks Dr, Ste 104, Thousand Oaks, CA 91361-1275 | 2009-01-30 |
| 1780894063 | Conejo Anesthesia | Anesthesiology | 351 Rolling Oaks Dr, Ste 101, Thousand Oaks, CA 91361-1275 | 2007-05-23 |
| 1487701215 | Plastic Surgery Center of Thousand Oaks, Inc. | Clinic/Center | 351 Rolling Oaks Dr, Suite 101, Thousand Oaks, CA 91361-1275 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.