PAUL L. DUDLEY, M.D., A MEDICAL CORPORATION (NPI# 1396871125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396871125 |
| Entity Type | Organization |
| Organization Name | PAUL L. DUDLEY, M.D., A MEDICAL CORPORATION |
| Practice Address |
2220 Lynn Rd Ste 206 Thousand Oaks CA 91360-8007 |
| Practice Telephone | 8054970027 |
| Practice Fax Number | 8054970147 |
| Mailing Telephone | 8054970027 |
| Mailing Fax Number | 8054970147 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | TIFFANY SHEEHAN (BILLING MANAGER) |
| Authorized Official Telephone | 8054970027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G25705 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G257050 | 05 |
| Street Address |
2220 LYNN RD STE 206 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-8007 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721631 | Lindsey Elizabeth Ethridge | Specialist | 1735 Sweet Briar Pl, Thousand Oaks, CA 91362-1256 | 2014-04-22 |
| 1740629799 | Shannah Tenner | Specialist | 2400 Willow Ln, Thousand Oaks, CA 91361-4958 | 2013-06-21 |
| 1821280629 | Alister A George | Specialist | 3510 N. Moorpark Rd, Suite 201, Thousand Oaks, CA 91360 | 2007-08-15 |
| 1205033800 | Southern California Pulmonary and Sleep Disorders Medical Center Inc. | Specialist | 2230 Lynn Rd Ste 101, Thousand Oaks, CA 91360-1917 | 2007-06-28 |
| 1972708840 | Vrej Grigorian | Specialist | 1202 Calle Pecos, Thousand Oaks, CA 91360-2347 | 2007-06-19 |
| 1639385735 | Total-care Medical Center | Specialist | 1429 E Thousand Oaks Blvd Ste 210, Thousand Oaks, CA 91362-6238 | 2007-05-15 |
| 1891919114 | Ronald Brooks | Specialist | 1333 E Thousand Oaks Blvd, Suite #108, Thousand Oaks, CA 91362-2826 | 2007-04-11 |
| 1831213388 | The Hand & Upper Extremity Center Inc | Specialist | 101 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5831 | 2007-03-19 |
| 1881723351 | Michael H Gollub | Specialist | 299 W Hillcrest Dr Ste 100, Thousand Oaks, CA 91360-7820 | 2007-03-02 |
| 1073663886 | Peterson Pierre | Specialist | 77 E. Rolling Oaks Drive, Suite 207, Thousand Oaks, CA 91361 | 2007-01-12 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on PAUL L. DUDLEY, M.D., A MEDICAL CORPORATION.
| 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.