Conejo Nephrology & Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CONEJO NEPHROLOGY & MEDICAL GROUP, INC.

Practice address

227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848

Phone

(805) 496-6051

Fax

(805) 495-6785

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard K Lessman, M.D.

Title

Physician

Phone

(805) 496-6051

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609935592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-6051",
            "fax_number": "805-495-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-6051",
            "fax_number": "805-495-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO NEPHROLOGY & MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-496-6051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0004840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• 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.