NPIMap

Organization Active NPI

Conejo Valley Mtu

  • Rehabilitation Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1922100072
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONEJO VALLEY MTU
Practice address
1135 Windsor Dr
Thousand Oaks, CA 91360-5228
Phone
(805) 497-4590
Fax
(805) 374-9151
NPI assigned
Sep 1, 2006
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF VENTURAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Laurell Mauro, PTNPI 1730293143
Title
Manager
Phone
(805) 981-5223

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1135 Windsor Dr
Thousand Oaks, CA 91360-5228

Mailing address

2401 Los Feliz Dr
Thousand Oaks, CA 91362-3153
Phone (805) 497-4590

Other identifiers 1

IdentifierTypeStateIssuer
CCS00081FOtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
County of Ventura Area Agency on Aging85 organizations share this tax ID, including this one
Part of
County of Ventura Area Agency on Aging

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1135 Windsor Dr
Thousand Oaks, CA 91360
Phone (805) 497-4590

2401 Los Feliz Dr
Thousand Oaks, CA 91362

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1922100072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LOS FELIZ DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623153",
            "telephone_number": "805-497-4590",
            "fax_number": "805-374-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 WINDSOR DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605228",
            "telephone_number": "805-497-4590",
            "fax_number": "805-374-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO VALLEY MTU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF VENTURA",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "LAURELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-981-5223",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "CCS00081F",
            "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 Sep 18, 2023; 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.