Conejo Pain Specialists Medical Group Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G81184 Issued in CA

Legal business name

CONEJO PAIN SPECIALISTS MEDICAL GROUP INC

Practice address

3366 E Thousand Oaks Blvd
Second Floor
Thousand Oaks, CA 91362-3443

Phone

(805) 497-8616

Fax

(805) 496-5585

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kamyar Assil, MD

Title

President

Phone

(805) 497-8616

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/879/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Azer

  • Pharmacist
  • Simi Valley, CA
  • NPI 1407441298
  NPD (past)
• Donald A Degrange, MD

  • Orthopaedic Surgery of the Spine Physician
  • Saint Louis, MO
  • NPI 1952364796
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1962439935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E AVENIDA DE LOS ARBOLES",
            "address_2": "101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603024",
            "telephone_number": "805-497-8616",
            "fax_number": "805-496-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 E THOUSAND OAKS BLVD",
            "address_2": "SECOND FLOOR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623443",
            "telephone_number": "805-497-8616",
            "fax_number": "805-496-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO PAIN SPECIALISTS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "ASSIL",
        "authorized_official_first_name": "KAMYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G81184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Conejo Valley Dialysis, Inc.
• Conejo Valley Electrophysiology Inc.
• Conejo Valley Mtu
• Conejo Valley Multispecialty Medical Group
• Conejo Valley Physical Therapy, Inc

• Interventional Pain Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.