Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Community Medical Group Inc

Organization Family Medicine Physician · NPI 1053489146

Community Medical Group Inc is a Family Medicine Physician in Thousand Oaks, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

612 E Janss Rd
Thousand Oaks, CA 91360
Phone: (805) 373-0725
Fax: (805) 373-0574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1053489146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Siegel — President · (818) 707-9603
NPI enumeratedNovember 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address30125 Agoura Rd, Suite 200, Agoura Hills, CA 91301-4337

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