CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION (NPI# 1376619262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376619262 |
| Entity Type | Organization |
| Organization Name | CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION |
| Other Organization Name | CONEJO MEDICAL & BREAST CARE CENTER |
| Practice Address |
3180 Willow Lane Suite 200 Westlake Village CA 91361-4923 |
| Practice Telephone | 8054973239 |
| Practice Fax Number | 8054973110 |
| Mailing Telephone | 8054973239 |
| Mailing Fax Number | 8054973110 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | DR. RAHMAT (ROBERT) GHAUSSY (OWNER) |
| Authorized Official Telephone | 8054966045 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | 174400000X | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Conejo Medical & Breast Care Center | Other Name - Individual/Organization |
| Street Address |
3180 WILLOW LANE SUITE 200 |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033594213 | Nadean Dyer's Pediatric Therapy | Specialist | 1765 Brooksfall Ct, Westlake Village, CA 91361-3506 | 2015-07-29 |
| 1285074864 | Christine Maria Rasmussen | Specialist | 3275 East Thousand Oaks Boulevard, Suite Number 207, Westlake Village, CA 91362 | 2013-06-27 |
| 1932432929 | Frank R. Lusher, M.d., Inc. | Specialist | 3180 Willow Lane, Suite 116, Westlake Village, CA 91361 | 2009-09-09 |
| 1093832255 | Neeta Ambe-crain | Specialist | 1250 La Venta Dr Ste112, Westlake Village, CA 91361 | 2007-03-23 |
| 1063545952 | Nancy Taylor | Specialist | 1250 La Venta Dr #112, Westlake Village, CA 91361 | 2007-03-13 |
| 1366593287 | Edward Irving Kassman | Specialist | 4045 E Thousand Oaks Blvd, Suite 220, Westlake Village, CA 91362-3636 | 2007-01-16 |
| 1811069982 | Ronald Jay Friedman | Specialist | 5706 Corsa Ave, Suite 200-o, Westlake Village, CA 91362-4057 | 2006-11-14 |
| 1164594214 | Gail Michele Schlesinger | Specialist | 5706 Corsa Ave Ste 200-o, Westlake Village, CA 91362-4057 | 2006-11-14 |
| 1720163967 | Northranch Wellness, Inc | Specialist | 31225 La Baya Dr Ste 206b, Westlake Village, CA 91362-4019 | 2006-10-26 |
| 1013936046 | Dr. Fisher | Specialist | 1250 La Venta Rd Ste 202, Westlake Village, CA 91361-3769 | 2006-07-19 |
| Find all providers in WESTLAKE VILLAGE | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.