PAUL L. DUDLEY, M.D., A MEDICAL CORPORATION
NPI 1396871125
Specialist in Thousand Oaks, CA

Active since February 26, 2007
2220 LYNN RD STE 206, THOUSAND OAKS, CA 91360(805) 497-0027(805) 497-0147 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul L. Dudley, M.d., A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL L. DUDLEY, M.D., A MEDICAL CORPORATION (NPI 1396871125) is a healthcare organization registered as a specialist in Thousand Oaks, California and active in the NPI registry since February 2007. The organization lists Tiffany Sheehan, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1396871125
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePAUL L. DUDLEY, M.D., A MEDICAL CORPORATION
Location Address2220 LYNN RD STE 206Thousand Oaks, CA 91360-8007
Mailing Address2220 Lynn Rd Ste 206Thousand Oaks, CA 91360-8007 · (805) 497-0027 · Fax (805) 497-0147
Fax(805) 497-0147
Organization SubpartNo
Authorized OfficialTiffany SheehanBilling Manager · (805) 497-0027
Enumeration DateFebruary 26, 2007
Last NPPES UpdateOctober 3, 2007
NPI 1396871125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G25705
Definition
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.
2220 LYNN RD STE 206, Thousand Oaks, CA 91360

Other Identifiers 3

Medicare UPINA42763CA
Medicaid00G257050CA
Medicare PING25705

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul L. Dudley, M.D., A Medical Corporation's NPI number?

The NPI number for Paul L. Dudley, M.D., A Medical Corporation is 1396871125. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Paul L. Dudley, M.D., A Medical Corporation located?

Paul L. Dudley, M.D., A Medical Corporation is located at 2220 Lynn Rd Ste 206, Thousand Oaks, CA 91360. The listed phone number is (805) 497-0027.

What is Paul L. Dudley, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Paul L. Dudley, M.D., A Medical Corporation was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.