Organization Active NPI

Conejo Valley Multispecialty Medical Group

  • Internal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1699179762
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A93280 Issued in CA
Legal business name
CONEJO VALLEY MULTISPECIALTY MEDICAL GROUP
Practice address
227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848
Phone
(805) 496-6051
Fax
(805) 496-6785
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Jigar Ghelani, M.D.NPI 1699823609
Title
Partner
Phone
(805) 496-6051

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
Internal Medicine Physician 207R00000X A93280 CA Primary
Nephrology Physician 207RN0300X A23840 CA

Addresses

Primary practice location

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

Mailing address

227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848
Phone (805) 496-6051

National Provider Directory

National Provider Directory

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1699179762",
    "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": "805-496-6785"
        },
        {
            "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": "805-496-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO VALLEY MULTISPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "JIGAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-496-6051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93280",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A23840",
            "primary": false
        }
    ],
    "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 Oct 17, 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.