Organization Active NPI

Conejo Oaks Medical Group Inc

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1477640464
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G32734 Issued in CA
Legal business name
CONEJO OAKS MEDICAL GROUP INC
Practice address
2100 Lynn Rd Ste 215
Thousand Oaks, CA 91360-8038
Phone
(805) 497-4974
Fax
(805) 496-7636
NPI assigned
Oct 10, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Francis M. Dawson, M.D.NPI 1043390883
Title
Provider
Phone
(805) 497-4974

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G33376 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G32734 CA Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 215
Thousand Oaks, CA 91360-8038

Mailing address

2100 Lynn Rd Ste 215
Thousand Oaks, CA 91360-8038
Phone (805) 497-4974

National Provider Directory

National Provider Directory

Locations

2100 Lynn Rd
Ste 215
Thousand Oaks, CA 91360
Phone (805) 496-6971

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1477640464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 215",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608038",
            "telephone_number": "805-497-4974",
            "fax_number": "805-496-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 215",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608038",
            "telephone_number": "805-497-4974",
            "fax_number": "805-496-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO OAKS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "805-497-4974",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G33376",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G32734",
            "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 Jun 21, 2018; 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.