Community Medical Group Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COMMUNITY MEDICAL GROUP INC

Practice address

612 E Janss Road
Thousand Oaks, CA 91360

Phone

(805) 373-0725

Fax

(805) 373-0574

NPI assigned

Nov 30, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bernard Siegel, MD

Title

President

Phone

(818) 707-9603

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053489146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30125 AGOURA RD",
            "address_2": "SUITE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014337",
            "telephone_number": "818-707-9603",
            "fax_number": "818-707-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E JANSS ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-373-0725",
            "fax_number": "805-373-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-707-9603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lea Coleman, M.D.
• Monte Carol Coleman, MSW, LCSW
• Vallerie Elizabeth Coleman, PH.D.
• Kathryn Collins, RD
• Tanya Marynka Collins, M.D.
• Compass Charter Schools of Los Angeles
• Compass Charter Schools of San Diego
• Compass Charter Schools of Yolo
• Compassionate Healthcare Solutions, Inc
• Complete Care Home Health, Inc

• Pediatrics Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.