THOUSAND OAKS DIAGNOSTIC IMAGING CENTER (NPI# 1417016320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417016320 |
| Entity Type | Organization |
| Organization Name | THOUSAND OAKS DIAGNOSTIC IMAGING CENTER |
| Other Organization Name | CAMARILLO-LOS ROBLES IMAGING CENTER |
| Practice Address |
3801 Las Posas Rd Suite 111 Camarillo CA 93010-1427 |
| Mailing Address |
2190 Lynn Rd Suite 220 Thousand Oaks CA 91360-1980 |
| Practice Telephone | 8054928032 |
| Practice Fax Number | 8054822431 |
| Mailing Telephone | 8054958050 |
| Mailing Fax Number | 8054962160 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | DR. BARRY KLEIN (MANAGING PARTNER) |
| Authorized Official Telephone | 8054959442 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | THOUSAND OAKS DIAGNOSTIC IMAGING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Camarillo-Los Robles Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437127693 | Thousand Oaks Diagnostic Imaging Center | Radiology | 2180 Lynn Road, Thousand Oaks, CA 91360 | 2006-03-14 |
| 1629058466 | Thousand Oaks Diagnostic Imaging Center | Radiology | 227 West Janss Road, Suite 150, Thousand Oaks, CA 91360 | 2006-01-18 |
| 1770722837 | Thousand Oaks Diagnostic Imaging Center | Radiology | 227 W Janss Rd, Suite 150, Thousand Oaks, CA 91360-1848 | 2009-02-13 |
| Street Address |
3801 LAS POSAS RD SUITE 111 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585283 | Ronald Keith Hunter | Dentist | 3801 Las Posas Rd, Suite 205, Camarillo, CA 93010-1427 | 2005-08-15 |
| 1366978207 | Suzanne Lingl | Registered Nurse | 3801 Las Posas Rd, 214, Camarillo, CA 93010 | 2017-05-11 |
| 1104203314 | County of Ventura | Clinic/Center | 3801 Las Posas Rd, Suite 106b, Camarillo, CA 93010-1427 | 2015-04-27 |
| 1447687041 | Ray Ruiz | Physician Assistant | 3801 Las Posas Rd, Camarillo, CA 93010-1427 | 2013-09-27 |
| 1497001879 | Emily Walls | Nurse Practitioner | 3801 Las Posas Rd, Suite 214, Camarillo, CA 93010-1426 | 2012-08-03 |
| 1356648067 | Robin Christopher Harkins | Chiropractor | 3801 Las Posas Rd, Suite 114, Camarillo, CA 93010-1427 | 2011-02-15 |
| 1487967907 | Ardent Medical Group | Internal Medicine | 3801 Las Posas Rd, Suite #211, Camarillo, CA 93010-1427 | 2010-07-26 |
| 1710219662 | Ventura Eye Institute, Inc | Specialist | 3801 Las Posas Rd, Suite 112, Camarillo, CA 93010-1427 | 2010-02-03 |
| 1265698518 | Omega Edwards Md Inc | Internal Medicine | 3801 Las Posas Rd, Suite 106-b, Camarillo, CA 93010-1427 | 2008-08-05 |
| 1720250533 | Veselak Chiropractic, Corporation | Chiropractor | 3801 Las Posas Rd, #114, Camarillo, CA 93010-1427 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412707 | Gilbert Onaka | Radiology | 657 Corte Corrida, Camarillo, CA 93010-7443 | 2014-10-09 |
| 1013123108 | Cherry Huen | Radiology | 2866 La Plata Dr, Camarillo, CA 93010-7494 | 2007-05-15 |
| 1477505790 | Charles M North | Radiology | 185 Laveta Dr, Camarillo, CA 93012 | 2006-05-16 |
| 1124072707 | Beverly Radiology Medical Group | Radiology | 3901 Las Posas Rd, Suite 104, Camarillo, CA 93010-1501 | 2006-05-19 |
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| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
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| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
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| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.