CONEJO VALLEY PRIMARY HEALTHCARE
NPI 1265121446
Clinic/Center - Health Service in Thousand Oaks, CA
About Conejo Valley Primary Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONEJO VALLEY PRIMARY HEALTHCARE (NPI 1265121446) is a healthcare organization registered as a health service in Thousand Oaks, California and active in the NPI registry since May 2023. The organization lists Lynn Coates-leisen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conejo Valley Primary Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Conejo Valley Primary Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
Thousand Oaks, CA 91362
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Valley Primary Healthcare's NPI number?
The NPI number for Conejo Valley Primary Healthcare is 1265121446. It was assigned to this organization in the NPPES registry on May 3, 2023. The provider is also known as Lynn Coates-Leisen, NP.
Where is Conejo Valley Primary Healthcare located?
Conejo Valley Primary Healthcare is located at 1429 E Thousand Oaks Blvd # 108, Thousand Oaks, CA 91362. The listed phone number is (805) 719-1700.
What is Conejo Valley Primary Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Conejo Valley Primary Healthcare enrolled in Medicare?
Yes. Conejo Valley Primary Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Conejo Valley Primary Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Conejo Valley Primary Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Conejo Valley Primary Healthcare was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Conejo Valley Primary Healthcare · NPI 1265121446
Health Service organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since May 3, 2023.
## Identity
- **NPI:** 1265121446 (Entity type: Organization)
- **Enumerated:** May 3, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** Lynn Coates-Leisen, NP (Other Name)
- **Organization subpart:** No
- **Authorized official:** Lynn Coates-Leisen, CEO
## Practice location
- **Address:** 1429 E THOUSAND OAKS BLVD # 108, Thousand Oaks, CA 91362-2801
- **Phone:** (805) 719-1700 · **Fax:** (805) 719-1711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265121446) · Data from the CMS NPPES public registry.