Active NPI
Conejo Valley Women's Resource Center
- Community Health Clinic/Center
- Thousand Oaks, CA
National Provider Identifier
1457481822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM71123F | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0975154 | Conejo Valley Women's Resource Center | Provider-performed microscopy | May 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.