Active NPI
Conejo Valley Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Newbury Park, CA
National Provider Identifier
1801032750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CONEJO VALLEY SURGERY CENTER, LLC
- Practice address
- 311 Haigh Road
Suite 100
Newbury Park, CA 91320 - Phone
- (805) 273-5200
- Fax
- (805) 498-5494
- NPI assigned
- Dec 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adebambo Ojuri, M.D.
- Title
- Medical Director
- Phone
- (805) 273-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
311 Haigh Road
Suite 100
Newbury Park, CA 91320
Mailing address
P.O. Box 881840
Los Angeles, CA 90009
Phone (805) 273-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 05C0001901
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CONEJO VALLEY SURGERY CENTER
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Sep 10, 2009
- Last certification
- Feb 14, 2019
- Ownership / control type
- Proprietary
- Facility address
- 311 Haigh Rd Ste 100
Thousand Oaks, CA 91320
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429574400000",
"number": "1801032750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 881840",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90009",
"telephone_number": "805-273-5200",
"fax_number": "805-498-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 HAIGH ROAD",
"address_2": "SUITE 100",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "91320",
"telephone_number": "805-273-5200",
"fax_number": "805-498-5494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONEJO VALLEY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-24",
"last_updated": "2015-04-21",
"status": "A",
"authorized_official_last_name": "OJURI",
"authorized_official_first_name": "ADEBAMBO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "805-273-5200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"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 Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.