Dr Jantje Matthew Groot, MD | |
4258 Telegraph Rd, Ventura, CA 93003-3706 | |
(805) 477-5700 | |
(805) 644-5245 |
Full Name | Dr Jantje Matthew Groot |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4258 Telegraph Rd, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083859912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A102213 (California) | Primary |
Entity Name | County Of Ventura |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
Mailing Address | Practice Location Address |
---|---|
Dr Jantje Matthew Groot, MD 800 S Victoria Ave, L4615, Vchca - Physician Services, Ventura, CA 93009-0003 Ph: (805) 677-5181 | Dr Jantje Matthew Groot, MD 4258 Telegraph Rd, Ventura, CA 93003-3706 Ph: (805) 477-5700 |
Soleyman Mirakhor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-667-2850 | |
Dr. Michael Hewitt Mitchell, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-658-5800 | |
Frances O'sullivan, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-652-6556 | |
Dr. Jeffrey A Leonard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2833 Loma Vista Road, Ventura, CA 93003 Phone: 805-648-2504 Fax: 805-648-3914 | |
Dr. Abbey Jordana Freed, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Ste 302, Ventura, CA 93003 Phone: 805-652-6255 | |
Timothy V. Tice, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2580 E Main St, Suite 200, Ventura, CA 93003 Phone: 805-653-0088 Fax: 805-653-6748 |