Village OB GYN Medical Group Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C27941 Issued in CA

Legal business name

VILLAGE OB GYN MEDICAL GROUP INC

Practice address

317 So Moorpark Road
Thousand Oaks, CA 91361

Phone

(805) 497-8638

Fax

(805) 495-3858

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Stanley R Silverman, MD

Title

President

Phone

(805) 497-8638

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1871798512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SO MOORPARK ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-8638",
            "fax_number": "805-495-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SO MOORPARK ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-8638",
            "fax_number": "805-495-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OB GYN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-8638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C27941",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A75365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Revival Medical Corporation
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• Kimberly Villa
• Village Wellness Family Counseling P.C.
• Valentina Villalobos, NONE
• Felicity Villarreal, NONE
• Jennifer Villasenor
• Catherine Marie Villegas, MSW, ASW

• Obstetrics & Gynecology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.