Organization Active NPI

Conejo Valley Electrophysiology Inc.

  • Clinical Cardiac Electrophysiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1588084859
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
C54056 Issued in CA
Legal business name
CONEJO VALLEY ELECTROPHYSIOLOGY INC.
Practice address
2220 Lynn Rd
Suite 203
Thousand Oaks, CA 91360-1904
Phone
(805) 768-4198
Fax
(877) 794-1288
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Carlos Moura Alves, MDNPI 1558342717
Title
President
Phone
(805) 768-4198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X C54056 CA Primary

Addresses

Primary practice location

2220 Lynn Rd
Suite 203
Thousand Oaks, CA 91360-1904

Mailing address

501 S Reino Rd Ste I
Suite 391
Newbury Park, CA 91320-4270
Phone (805) 768-4198

National Provider Directory

National Provider Directory

Locations

865 Patriot Dr
Ste 201
Moorpark, CA 93021
Phone (805) 222-4549

501 S Reino Rd
Ste I391
Newbury Park, CA 91320

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": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1588084859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S REINO RD STE I",
            "address_2": "SUITE 391",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204270",
            "telephone_number": "805-768-4198",
            "fax_number": "877-794-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-768-4198",
            "fax_number": "877-794-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO VALLEY ELECTROPHYSIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "ALVES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MOURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-768-4198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "C54056",
            "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 Apr 24, 2014; 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.