Organization Active NPI

Conejo Medical Group for Women

  • Obstetrics & Gynecology Physician
  • Thousand Oaks, CA
National Provider Identifier
1851498935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C35879 Issued in CA
Legal business name
CONEJO MEDICAL GROUP FOR WOMEN
Practice address
2190 Lynn Rd Ste 290
Thousand Oaks, CA 91360-8023
Phone
(805) 496-9659
Fax
(805) 496-1460
NPI assigned
Sep 20, 2006
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
Paul Henri Toomer,M.D., M.D.
Title
Sec
Phone
(805) 496-9659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C35879 CA Primary

Addresses

Primary practice location

2190 Lynn Rd Ste 290
Thousand Oaks, CA 91360-8023

Mailing address

2190 Lynn Rd Ste 290
Thousand Oaks, CA 91360-8023
Phone (805) 496-9659

Other identifiers 1

IdentifierTypeStateIssuer
00C358790MedicaidCA

National Provider Directory

National Provider Directory

Locations

2190 Lynn Rd
Ste 290
Thousand Oaks, CA 91360
Phone (805) 496-9659

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851498935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 290",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608023",
            "telephone_number": "805-496-9659",
            "fax_number": "805-496-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 290",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608023",
            "telephone_number": "805-496-9659",
            "fax_number": "805-496-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO MEDICAL GROUP FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOOMER,M.D.",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HENRI",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "805-496-9659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C35879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C358790",
            "state": "CA"
        }
    ],
    "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.