Active NPI
Michele A Ghaussy, M.D.
- Adult Medicine Physician
- Thousand Oaks, CA
National Provider Identifier
1962402180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- G50708
- Practice address
- 365 Scarborough St
Thousand Oaks, CA 91361-1346 - Phone
- (805) 277-0789
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | G50708 | CA | Primary |
Addresses
Primary practice location
365 Scarborough St
Thousand Oaks, CA 91361-1346
Mailing address
PO Box 1086
Thousand Oaks, CA 91358-0086
Phone (805) 990-4375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50708 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conejo Medical & Beast Care Center | Current | Accepting new patients |
Locations
3180 Willow Ln
Ste 200
Thousand Oaks, CA 91361
Phone (805) 497-3239
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Thousand Oaks, CA
- NPI 1922155191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1962402180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913580086",
"telephone_number": "805-990-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 SCARBOROUGH ST",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611346",
"telephone_number": "805-277-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAUSSY",
"first_name": "MICHELE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "G50708",
"primary": true
}
],
"identifiers": [],
"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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.