CONEJO MEDICAL & BREAST CARE CENTER
NPI 1376619262
Specialist in Thousand Oaks, CA

Q: What is Conejo Medical And Breast Care Center A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 24, 2006CLIA 05D0559475 · Waiver

3180 WILLOW LN STE 212, THOUSAND OAKS, CA 91361(805) 497-3239(805) 497-3110 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Conejo Medical & Breast Care Center NPPES

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

CONEJO MEDICAL & BREAST CARE CENTER (NPI 1376619262) is a healthcare organization registered as a specialist in Thousand Oaks, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Michele Ghaussy, Coo/practice Manager, as its authorized official.

NPPES Registry Identity

NPI1376619262

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION

Location Address3180 WILLOW LN STE 212Thousand Oaks, CA 91361-4990

Mailing Address3180 Willow Ln Ste 212Thousand Oaks, CA 91361-4990 · (805) 497-3239 · Fax (805) 497-3110

Phone(805) 497-3239

Fax(805) 497-3110

Organization SubpartNo

Authorized OfficialMichele GhaussyCoo/practice Manager · (805) 990-4375

Enumeration DateNovember 24, 2006

Last NPPES UpdateFebruary 13, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1376619262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

3180 WILLOW LN STE 212, Thousand Oaks, CA 91361

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Other Names 1

Other NameConejo Medical & Breast Care Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0559475

Conejo Medical And Breast Care Center, A Med Corp · Westlake Village, CA

Active · expires Jan 27, 2027

CLIA Number05D0559475

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2025

Certificate Expiration DateJanuary 27, 2027

Laboratory DirectorRobert Ghaussy MD

Laboratory Phone(805) 497-3239

Laboratory LocationConejo Medical And Breast Care Center, A Med Corp3180 Willow Ln Ste 200, Westlake Village, CA 91361

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Medical And Breast Care Center A Medical Corporation's NPI number?

The NPI number for Conejo Medical And Breast Care Center A Medical Corporation is 1376619262. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is also known as Conejo Medical & Breast Care Center.

Where is Conejo Medical And Breast Care Center A Medical Corporation located?

Conejo Medical And Breast Care Center A Medical Corporation is located at 3180 Willow Ln Ste 212, Thousand Oaks, CA 91361. The listed phone number is (805) 497-3239.

What is Conejo Medical And Breast Care Center A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Conejo Medical And Breast Care Center A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0559475) is associated with this NPI, valid through January 27, 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 Medical And Breast Care Center A Medical Corporation was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.