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CONEJO DERMATOLOGY MEDICAL GROUP
NPI 1073524674
Dermatology in Thousand Oaks, CA

Active since August 10, 2006CLIA 05D0559414 · Certificate of Compliance
55 ROLLING OAKS DR # 200, THOUSAND OAKS, CA 91361(805) 497-7529(805) 494-3486 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Conejo Dermatology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONEJO DERMATOLOGY MEDICAL GROUP (NPI 1073524674) is a healthcare organization registered as a dermatology in Thousand Oaks, California and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 7, 2027 and lists Ralph M Kamell, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1073524674
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCONEJO DERMATOLOGY MEDICAL GROUP
Location Address55 ROLLING OAKS DR # 200Thousand Oaks, CA 91361-1010
Mailing Address55 Rolling Oaks DrThousand Oaks, CA 91361-1010 · (805) 497-7529 · Fax (805) 494-3486
Phone(805) 497-7529
Fax(805) 494-3486
Organization SubpartNo
Authorized OfficialRalph M KamellManaging Partner · (805) 497-7529
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1073524674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
55 ROLLING OAKS DR # 200, Thousand Oaks, CA 91361
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0559414

Conejo Dermatology · Thousand Oaks, CA
Active · expires Mar 7, 2027
CLIA Number05D0559414
Laboratory TypeIndependent
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorJeanette K. Mitchell
Laboratory Phone(805) 497-7529
Laboratory LocationConejo Dermatology55 Rolling Oaks Dr, Ste 200, Thousand Oaks, CA 91361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conejo Dermatology Medical Group's NPI number?

The NPI number for Conejo Dermatology Medical Group is 1073524674. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Conejo Dermatology Medical Group located?

Conejo Dermatology Medical Group is located at 55 Rolling Oaks Dr # 200, Thousand Oaks, CA 91361. The listed phone number is (805) 497-7529.

What is Conejo Dermatology Medical Group's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Conejo Dermatology Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0559414) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conejo Dermatology Medical Group was last updated on January 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.