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CONEJO CHILDRENS MEDICAL GROUP
NPI 1336260876
Pediatrics in Newbury Park, CA

Active since April 03, 2007CLIA 05D0980134 · Waiver
558 N VENTU PARK RD STE D, NEWBURY PARK, CA 91320(805) 577-0216 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conejo Childrens Medical Group NPPES

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

CONEJO CHILDRENS MEDICAL GROUP (NPI 1336260876) is a healthcare organization registered as a pediatrics in Newbury Park, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Donna Pachorek, President, as its authorized official.

NPPES Registry Identity

NPI1336260876
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCONEJO CHILDRENS MEDICAL GROUP
Location Address558 N VENTU PARK RD STE DNewbury Park, CA 91320-2755
Mailing Address558 N Ventu Park Rd Ste DNewbury Park, CA 91320-2755 · (805) 577-0216
Phone(805) 577-0216
Organization SubpartNo
Authorized OfficialDonna PachorekPresident · (805) 577-0216
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336260876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
558 N VENTU PARK RD STE D, Newbury Park, CA 91320
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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 Waiver 05D0980134

Conejo Childrens Medical Group · Thousand Oaks, CA
Active · expires Jun 27, 2028
CLIA Number05D0980134
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorDonna M. Pachorek MD
Laboratory Phone(805) 499-5525
Laboratory LocationConejo Childrens Medical Group558 N Ventu Park Rd Ste D, Thousand Oaks, CA 91320
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA M PACHOREK M.D.
Pediatrics
558 N VENTU PARK RD STE D
NEWBURY PARK, CA 91320
Ventura County (805) 499-5525
PETER M. ANTALL M.D.
Pediatrics
558 N VENTU PARK RD STE D
NEWBURY PARK, CA 91320
Ventura County (805) 499-5525
NATHALIE RUBIN M.D.
Pediatrics
558 N VENTU PARK RD STE D
THOUSAND OAKS, CA 91320
Ventura County (805) 499-5525

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 Childrens Medical Group's NPI number?

The NPI number for Conejo Childrens Medical Group is 1336260876. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Conejo Childrens Medical Group located?

Conejo Childrens Medical Group is located at 558 N Ventu Park Rd Ste D, Newbury Park, CA 91320. The listed phone number is (805) 577-0216.

What is Conejo Childrens Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Conejo Childrens Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0980134) is associated with this NPI, valid through June 27, 2028. 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 Childrens Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.