ROY GOTTLIEB (NPI# 1760431902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760431902 |
| Entity Type | Individual |
| Full Name | ROY GOTTLIEB |
| Credential | D.O. |
| Practice Address |
415 Rolling Oaks Dr Thousand Oaks CA 91361-1031 |
| Mailing Address |
Po Box 190 Simi Valley CA 93062-0190 |
| Practice Telephone | 8057781513 |
| Mailing Telephone | 8055225940 |
| Mailing Fax Number | 8055226401 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2014-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20A6254 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX62540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235260027 | Roy Gottlieb | Chiropractor | 22 Shore Hill Rd, Gloucester, MA 01930-1763 | 2007-03-07 |
| Street Address |
415 ROLLING OAKS DR |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665586 | Glenn Eric Waldman | Specialist | 415 Rolling Oaks Dr, Suite 190, Thousand Oaks, CA 91361-1029 | 2006-01-30 |
| 1588198790 | Kiavash Nikkhou Md Inc | Urology | 415 Rolling Oaks Dr, Suite 260, Thousand Oaks, CA 91361-1029 | 2017-04-13 |
| 1598216020 | Edge Medical Services | Clinic/Center | 415 Rolling Oaks Dr, 191, Thousand Oaks, CA 91361-1029 | 2016-10-19 |
| 1366992828 | Edge Medical Services | Clinic/Center | 415 Rolling Oaks Dr, 190, Thousand Oaks, CA 91361-1029 | 2016-10-09 |
| 1114396298 | Push Midwifery | Midwife | 415 Rolling Oaks Dr, Suite 190, Thousand Oaks, CA 91361-1029 | 2015-09-18 |
| 1740681014 | Victoria Lauren Hofius | Physical Therapist | 415 Rolling Oaks Dr, Thousand Oaks, CA 91361-1029 | 2014-09-05 |
| 1003216276 | Rolling Oaks Surgery Center LLC | Clinic/Center | 415 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1029 | 2014-08-25 |
| 1477780229 | Aviisha Medical Corporation | Dietitian, Registered | 415 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1029 | 2009-06-19 |
| 1154597623 | Lisa De Fazio | Dietitian, Registered | 415 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1029 | 2008-05-05 |
| 1033312079 | Farideh Kohanghadosh | Dentist | 415 Rolling Oaks Dr, Suite 120, Thousand Oaks, CA 91361-1029 | 2007-06-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1861835076 | Rachel Lauren Delfanti | Radiology | 415 Rolling Oaks Dr., Suite 125 and 230, Thousand Oaks, CA 91361-1038 | 2013-04-08 |
| 1356596001 | Neil George Diorio | Radiology | 3050 Heavenly Ridge St, Thousand Oaks, CA 91362-1187 | 2008-11-21 |
| 1821277252 | Deborah Abelson | Radiology | 415 Rolling Oaks Dr Ste 160, Thousand Oaks, CA 91361-1031 | 2007-11-01 |
| 1831307677 | Robert S. Sitarz | Radiology | 415 Rolling Oaks Dr Ste 1601252, Thousand Oaks, CA 91361 | 2007-05-17 |
| 1093841033 | Per-se Technologies | Radiology | 1525 Rancho Conejo Blvd, Suite 201, Thousand Oaks, CA 91320-1448 | 2007-02-26 |
| 1417901877 | Shwan Kim | Radiology | 865 Deer Willow Ct, Thousand Oaks, CA 91320-5508 | 2006-05-20 |
| 1437127693 | Thousand Oaks Diagnostic Imaging Center | Radiology | 2180 Lynn Road, Thousand Oaks, CA 91360 | 2006-03-14 |
| 1073585212 | Barry D Klein | Radiology | 215 West Janss Rd, Thousand Oaks, CA 91360 | 2006-02-02 |
| 1295705028 | David Aufrichtig | Radiology | 2180 Lynn Rd, Thousand Oaks, CA 91360 | 2006-01-24 |
| 1629058466 | Thousand Oaks Diagnostic Imaging Center | Radiology | 227 West Janss Road, Suite 150, Thousand Oaks, CA 91360 | 2006-01-18 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on ROY GOTTLIEB.
| 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.