Conejo Childrens Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CONEJO CHILDRENS MEDICAL GROUP

Practice address

558 N Ventu Park Rd Ste D
Newbury Park, CA 91320-2755

Phone

(805) 577-0216

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donna Pachorek, M.D.NPI 1346390838

Title

President

Phone

(805) 577-0216

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna M Pachorek, M.D.

  • Pediatrics Physician
  • Newbury Park, CA
  • NPI 1346390838
  NPD (past) Authorized official
• Mildred Elizabeth Andrews Vallance, MD

  • Pediatrics Physician
  • Thousand Oaks, CA
  • NPI 1750386033
  NPD (past)
• Peter M. Antall, M.D.

  • Pediatrics Physician
  • Newbury Park, CA
  • NPI 1780734269
  NPD (past)
• Ashley Bowen, FNP

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1356119457
  NPD (past)
• Michael Paul Melman, MD

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1770658049
  NPD (past)
• Nathalie Rubin, M.D.

  • Pediatrics Physician
  • Thousand Oaks, CA
  • NPI 1871564443
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336260876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD STE D",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202755",
            "telephone_number": "805-577-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD STE D",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202755",
            "telephone_number": "805-577-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO CHILDRENS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHOREK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-577-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Colivas, M.S. CCC-SLP
• Linda Louise Collet, DONA CERTIFIED BIRTH
• Colorado Sleep Services, LLC
• Communication Matters
• Community Dental Group
• Conejo Neurological Medical Group, Inc.
• Conejo Valley Family Counseling
• Conejo Valley Surgery Center, LLC
• Libby Coufal
• Covered Caregiver LLC

• Pediatrics Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Pediatrics Physician in California

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.