THOUSAND OAKS PEDIATRICS
NPI 1720586225
Pediatrics - Adolescent Medicine in Newbury Park, CA

Active since January 30, 2018CLIA 05D0559734 · Microscopy
1000 NEWBURY RD STE 100, NEWBURY PARK, CA 91320(805) 480-3730(805) 480-1951 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thousand Oaks Pediatrics NPPES

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

THOUSAND OAKS PEDIATRICS (NPI 1720586225) is a healthcare organization registered as an adolescent medicine in Newbury Park, California and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through April 30, 2027 and lists Laila Niazi, Physician-director, as its authorized official.

NPPES Registry Identity

NPI1720586225
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameLAILA NIAZI MD A PROFESSIONAL CORPORATION
Location Address1000 NEWBURY RD STE 100Newbury Park, CA 91320-6436
Mailing Address1000 Newbury Rd Ste 100Newbury Park, CA 91320-6436 · (805) 480-3730 · Fax (805) 480-1951
Fax(805) 480-1951
Organization SubpartNo
Authorized OfficialLaila NiaziPhysician-director · (805) 480-3730
Enumeration DateJanuary 30, 2018
NPI 1720586225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · A91451
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1000 NEWBURY RD STE 100, Newbury Park, CA 91320

Other Names 1

Doing Business AsThousand Oaks Pediatrics

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0559734

Thousand Oaks Pediatrics · Newbury Park, CA
Active · expires Apr 30, 2027
CLIA Number05D0559734
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorStephen P. Kundell
Laboratory Phone(805) 480-3730
Laboratory LocationThousand Oaks Pediatrics1000 Newbury Road #200, Newbury Park, CA 91320
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Pharmacist
1000 NEWBURY RD STE 100
NEWBURY PARK, CA 91320
Pharmacy
1000 NEWBURY RD STE 100
NEWBURY PARK, CA 91320
Pharmacy (Long Term Care Pharmacy)
1000 NEWBURY RD STE 100
NEWBURY PARK, CA 91320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720586225, enumerated as an "organization" on January 30, 2018.

The provider is located at 1000 NEWBURY RD STE 100 NEWBURY PARK, CA 91320 and the phone number is (805) 480-3730.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.