NPIMap

Organization Active NPI

Conejo Anesthesia

  • Anesthesiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1780894063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CONEJO ANESTHESIA
Practice address
351 Rolling Oaks Dr
Ste 101
Thousand Oaks, CA 91361-1275
Phone
(805) 497-1105
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Cynthia Jacobson, CRNANPI 1164552618
Title
Partner
Phone
(805) 498-3696

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

351 Rolling Oaks Dr
Ste 101
Thousand Oaks, CA 91361-1275

Mailing address

1000 Newbury Rd
Ste 145
Newbury Park, CA 91320-6435
Phone (805) 498-3696

National Provider Directory

National Provider Directory

Locations

1000 Newbury Rd
Ste 145
Newbury Park, CA 91320

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780894063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "STE 145",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-498-3696",
            "fax_number": "805-498-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR",
            "address_2": "STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611275",
            "telephone_number": "805-497-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-498-3696",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "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 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.