Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nels Davis Carroll

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1396122099

Nels Davis Carroll is a Thoracic Surgery in Thousand Oaks, California. Graduated from Temple University School of Medicine in 2015, 11 years ago. Practices with El Camino Health Medical Network LLC, a 201-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
11
Trained at
Temple University School of Medicine
Licensed in
CA, WA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

227 W Janss Rd Ste 340
Thousand Oaks, CA 91360-1879
Phone: (805) 852-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence A192800 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence MD61172512 (WA)

Record details

NPI number1396122099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2015
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing addressPo Box 743111, Atlanta, GA 30374-3111

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Also practisesCARDIAC SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice El Camino Health Medical Network Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Thousand Oaks