CONEJO MEDICAL & BREAST CARE CENTER
NPI 1376619262
Specialist in Thousand Oaks, CA
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
Specialties & Licenses 4
Other Names 1
Group Practice 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 Medical & Breast Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Conejo Medical & Breast Care Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Conejo Medical And Breast Care Center A Medical Corporation enrolled in Medicare?
Yes. Conejo Medical And Breast Care Center A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Conejo Medical And Breast Care Center A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Conejo Medical And Breast Care Center A Medical Corporation. 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. The largest specialties are Family Practice (3) and Internal Medicine (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Conejo Medical & Breast Care Center · NPI 1376619262
Specialist organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since November 24, 2006.
## Identity
- **NPI:** 1376619262 (Entity type: Organization)
- **Enumerated:** November 24, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Conejo Medical And Breast Care Center A Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Michele Ghaussy, COO/PRACTICE MANAGER
## Practice location
- **Address:** 3180 WILLOW LN STE 212, Thousand Oaks, CA 91361-4990
- **Phone:** (805) 497-3239 · **Fax:** (805) 497-3110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Internal Medicine (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376619262) · Data from the CMS NPPES public registry.