Organization Active NPI

Conejo Neurological Medical Group, Inc.

  • Pain Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1578603304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CONEJO NEUROLOGICAL MEDICAL GROUP, INC.
Practice address
1001 Newbury Rd
Newbury Park, CA 91320-6434
Phone
(805) 375-7900
NPI assigned
Feb 8, 2007
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
John Chih Chiu Sr., M.D.
Title
Ceo President
Phone
(805) 375-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1001 Newbury Rd
Newbury Park, CA 91320-6434

Mailing address

1001 Newbury Rd
Newbury Park, CA 91320-6434
Phone (805) 375-7900

National Provider Directory

National Provider Directory

Locations

1001 Newbury Rd
Ste 105
Newbury Park, CA 91320
Phone (805) 375-7900

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578603304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206434",
            "telephone_number": "805-375-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206434",
            "telephone_number": "805-375-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO NEUROLOGICAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHIH",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "805-375-7900",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, 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.