Organization Active NPI

Vigilance Medical Corporation

  • General Practice Physician
  • Thousand Oaks, CA
National Provider Identifier
1205777661
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIGILANCE MEDICAL CORPORATION
Practice address
555 Saint Charles Dr Ste 230
Thousand Oaks, CA 91360-3990
Phone
(805) 823-0981
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
William M Coburn, MD
Title
President
Phone
(805) 823-0981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

555 Saint Charles Dr Ste 230
Thousand Oaks, CA 91360-3990

Mailing address

555 Saint Charles Dr Ste 230
Thousand Oaks, CA 91360-3990

National Provider Directory

National Provider Directory

Locations

555 Saint Charles Dr
Ste 230
Thousand Oaks, CA 91360
Phone (708) 574-3228

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1205777661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SAINT CHARLES DR STE 230",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SAINT CHARLES DR STE 230",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603990",
            "telephone_number": "805-823-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANCE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-823-0981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.