CHRISTOPHER COSTANZO M D INC (NPI# 1114199163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114199163 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER COSTANZO M D INC |
| Practice Address |
2190 Lynn Rd Suite 380 Thousand Oaks CA 91360-1980 |
| Practice Telephone | 8053739919 |
| Practice Fax Number | 8053793495 |
| Mailing Telephone | 8053739919 |
| Mailing Fax Number | 8053793495 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | DR. CHRISTOPHER COSTANZO (PRESIDENT) |
| Authorized Official Telephone | 8053739919 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
G46454 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | G46454 | 01 |
| Street Address |
2190 LYNN RD SUITE 380 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417301 | Tom F Measles | Surgery | 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360-1980 | 2005-06-14 |
| 1215475983 | Advanced Wound Healing Specialists, Inc. | Surgery | 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360-8026 | 2017-02-02 |
| 1235384702 | Mai Brooks Md A Medical Corporation | Surgery | 2190 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-1980 | 2008-11-24 |
| 1811019938 | Tom Measles Md Prof Corp | Surgery | 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360-1980 | 2007-04-06 |
| 1336294859 | Los Robles Surgicenter, LLC | Clinic/Center | 2190 Lynn Rd, Suite 100, Thousand Oaks, CA 91360-1980 | 2007-01-24 |
| 1245389881 | Ted S Lin | Obstetrics & Gynecology | 2190 Lynn Rd, 240, Thousand Oaks, CA 91360-1980 | 2007-01-10 |
| 1942368790 | Klaire Marie Patterson | Nurse Anesthetist, Certified Registered | 2190 Lynn Rd, Thousand Oaks, CA 91360-1980 | 2006-12-05 |
| 1952474090 | Christopher Costanzo | Plastic Surgery | 2190 Lynn Rd, Ste 380, Thousand Oaks, CA 91360-8029 | 2006-11-16 |
| 1184724502 | Simi San Fernando Valley Urology Associates | Specialist | 2190 Lynn Rd, Suite 290, Thousand Oaks, CA 91360-1980 | 2006-09-25 |
| 1932218781 | Makrouhi A Kademian | Surgery | 2190 Lynn Rd, #200, Thousand Oaks, CA 91360 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891852737 | T. Bury M.d. Inc. | Plastic Surgery | 351 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1268 | 2007-01-02 |
| 1386833796 | Tjerk F Bury | Plastic Surgery | 351 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1268 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407614 | Advanced Hand & Reconstructive Plastic Surgery Inc. | Plastic Surgery | 18546 Roscoe Blvd Ste 220, Northridge, CA 91324-5455 | 2018-11-28 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1497112999 | Jose E Otero Md Inc | Plastic Surgery | 6367 Alvarado Ct Ste 104, San Diego, CA 92120-4914 | 2016-01-28 |
| 1114318268 | Sara Yegiyants Md Inc | Plastic Surgery | 225 W Pueblo St # A, Santa Barbara, CA 93105-3804 | 2015-02-11 |
| 1649613662 | Manutchehr Sohaey | Plastic Surgery | 1420 Paint Mountain Rd, Escondido, CA 92029-5926 | 2013-04-09 |
| 1972895027 | Menyoli Michael Malafa | Plastic Surgery | 1700 E Cesar E Chavez Ave Ste 2200, Los Angeles, CA 90033-2476 | 2011-05-09 |
| 1962692533 | Birch Medical Group | Plastic Surgery | 4463 Birch St, Newport Beach, CA 92660-1911 | 2007-07-30 |
| 1073673851 | Michael Zarrabi, Md Inc, A Medical Corporation | Plastic Surgery | 2001 Santa Monica Blvd Ste 1180w, Santa Monica, CA 90404-2132 | 2006-12-11 |
| 1669541017 | Bill Kim | Plastic Surgery | 5757 Wilshire Blvd Ste 374, Los Angeles, CA 90036-3683 | 2006-11-07 |
| 1366529349 | Hongshik Han | Plastic Surgery | 7005 N Maple Ave Ste 108, Fresno, CA 93720-8009 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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| 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.