Organization Active NPI

Conejo Valley Women's Resource Center

  • Community Health Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1457481822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CONEJO VALLEY WOMEN'S RESOURCE CENTER
Practice address
80 E Hillcrest Dr # 130
Thousand Oaks, CA 91360-4218
Phone
(805) 373-1222
NPI assigned
Mar 6, 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
Mrs. Pamela R Borg, RN
Title
Center Director
Phone
(805) 373-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA Primary

Addresses

Primary practice location

80 E Hillcrest Dr # 130
Thousand Oaks, CA 91360-4218

Mailing address

80 E Hillcrest Dr # 130
Thousand Oaks, CA 91360-4218
Phone (805) 373-1222

Other identifiers 1

IdentifierTypeStateIssuer
CMM71123FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0975154Conejo Valley Women's Resource Center80 East Hillcrest Drive #130, Thousand Oaks, CA 91360Provider-performed microscopyMay 11, 2028

National Provider Directory

National Provider Directory

Locations

80 E Hillcrest Dr
Ste 130
Thousand Oaks, CA 91360
Phone (805) 373-1222

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457481822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E HILLCREST DR # 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604218",
            "telephone_number": "805-373-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E HILLCREST DR # 130",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604218",
            "telephone_number": "805-373-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO VALLEY WOMEN'S RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "805-373-1222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71123F",
            "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.
  • 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.