Conejo Medical & Beast Care Center
Organization Active NPI General Practice Physician · Thousand Oaks, CA
NPI 1922155191 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1922155191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- G50708 (CA)
- Legal business name
- CONEJO MEDICAL & BEAST CARE CENTER
- Practice address
- 3180 Willow LN
200
Thousand Oaks, CA 91361-4941 - Phone
- (805) 497-3239
- Fax
- (805) 497-3110
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Maureen Malone
- Title
- Front Office Manager
- Phone
- (805) 497-3239
Corporate family (same tax ID) 1
Practitioners 8
-
Michele A Ghaussy, M.D.
-
Jason A Berkley, D.O.
-
Rosemary Flores, M.D.
-
Robert Ghaussy, M.D.
-
Niloufar Guiv, M.D.
-
Tami Jane Simard, DO
-
Sima Yaftali, M.D.
National Provider Directory
- Tax ID family
- Conejo Med-Breast Care Ctr
Locations
3180 Willow Ln
Ste 200
Thousand Oaks, CA 91361
Phone (805) 497-3239
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | A63292 | CA | |
| Internal Medicine Physician |
207R00000X | A41849 | CA | |
| Gastroenterology Physician |
207RG0100X | G73949 | CA | |
| Surgery Physician |
208600000X | A39905 | CA | |
| General Practice Physician |
208D00000X | G50708 | CA | Yes |
Addresses
Primary practice location
3180 Willow LN
200
Thousand Oaks, CA 91361-4941
Mailing address
3180 Willow LN
200
Thousand Oaks, CA 91361-4941
Phone (805) 497-3239
Other providers in Thousand Oaks, CA
- Concierge Anesthesia
- Sean Condon
- Conejo Anesthesia
- Conejo Dermatology Medical Group
- Conejo Los Robles Anesthesiology Medical Group, Inc.
- Conejo Medical and Breast Care Center a Medical Corporation
- Conejo Medical Group for Women
- Conejo Nephrology & Medical Group, Inc.
- Conejo Neurological Medical Group, Inc.
- Conejo Oaks Medical Group Inc
All providers in Thousand Oaks, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.