COMMUNITY MEDICAL GROUP INC – NPI #1053489146
Pediatrics

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.

COMMUNITY MEDICAL GROUP INC is a provider located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1053489146 to COMMUNITY MEDICAL GROUP INC on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY MEDICAL GROUP INC below.

NPI Profile for
COMMUNITY MEDICAL GROUP INC

NPI Number
1053489146
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY MEDICAL GROUP INC
Primary location
612 E JANSS ROAD
THOUSAND OAKS, CA 91360
Phone: (805) 373-0725 Fax: (805) 373-0574
Mailing address
30125 AGOURA RD
SUITE 200
AGOURA HILLS, CA 91301-4337
Phone: (818) 707-9603 Fax: (818) 707-1276
Organization Subpart
No
Authorized Official
BERNARD SIEGEL
PRESIDENT
Phone: (818) 707-9603
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.