Organization Active NPI

Los Robles CPSP

  • Obstetrics Physician
  • Thousand Oaks, CA
National Provider Identifier
1265552301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
GR0064740 Issued in CA
Legal business name
LOS ROBLES CPSP
Practice address
2220 Lynn Rd Ste 107B
Thousand Oaks, CA 91360-8014
Phone
(805) 373-5707
Fax
(805) 375-0711
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey P Block, M.D.NPI 1760552863
Title
Medical Director
Phone
(805) 496-6613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X GR0064740 CA Primary

Addresses

Primary practice location

2220 Lynn Rd Ste 107B
Thousand Oaks, CA 91360-8014

Mailing address

1534 N Moorpark Rd Ste 116
Thousand Oaks, CA 91360-5129
Phone (805) 373-5707

Other identifiers 1

IdentifierTypeStateIssuer
GR0064740MedicaidCA

National Provider Directory

National Provider Directory

Locations

1534 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 497-1800

2220 Lynn Rd
Ste 107B
Thousand Oaks, CA 91360
Phone (805) 373-5707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265552301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 N MOORPARK RD STE 116",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "805-373-5707",
            "fax_number": "805-495-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 107B",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608014",
            "telephone_number": "805-373-5707",
            "fax_number": "805-375-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROBLES CPSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-496-6613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "GR0064740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064740",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.