Clinicas Del Camino Real, Inc., Ventura | |
200 S Wells Rd Suite 100 Ventura CA 93004-1302 | |
(805) 647-6322 | |
(805) 647-7164 |
Full Name | Clinicas Del Camino Real, Inc., Ventura |
---|---|
Speciality | Clinic/Center |
Location | 200 S Wells Rd, Ventura, California |
Authorized Official Name and Position | Farhad Benharash (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8056591740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinicas Del Camino Real, Inc., Ventura 200 South Wells Road Suite 200 Ventura CA 93004-1302 Ph: (805) 659-1740 | Clinicas Del Camino Real, Inc., Ventura 200 S Wells Rd Suite 100 Ventura CA 93004-1302 Ph: (805) 647-6322 |
NPI Number | 1679631907 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 06/07/2022 |
Medicare PECOS PAC ID | 3173434396 |
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Medicare Enrollment ID | O20040205001238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679631907 | NPI | - | NPPES |
FHC03908F | Medicaid | CA | |
014657 | Other | CA | HEALTHY FAMILIES ACCESS D |
HAP03908F | Other | CA | HEALTH ACCESS PROGRAM FAM |
W3731 | Other | CA | MEDICARE NHIC |
BCP03908F | Other | CA | EDS CDP EVERY WOMAN COUNT |
201251 | Other | CA | DELTA DENTAL |
G9088402 | Other | CA | HEALTHY FAMILIES DELTA DE |
ZZZ06124Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000116 (California) | Primary |
Provider Name | Kathleen A Highly |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659689446 PECOS PAC ID: 0648170597 Enrollment ID: I20040108001225 |
Provider Name | Jean J Dansereau |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568414712 PECOS PAC ID: 6103805684 Enrollment ID: I20040717000405 |
Provider Name | Mally Azarmipur |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467516369 PECOS PAC ID: 5092784652 Enrollment ID: I20040929001288 |
Provider Name | Darlene M Fidler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861423964 PECOS PAC ID: 1759342058 Enrollment ID: I20041020000839 |
Provider Name | Christine Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386831188 PECOS PAC ID: 5991766636 Enrollment ID: I20041027001038 |
Provider Name | Shilpa Jindani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669485322 PECOS PAC ID: 8729045265 Enrollment ID: I20041215000959 |
Provider Name | Timothy Chen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720152002 PECOS PAC ID: 4789634403 Enrollment ID: I20050215001115 |
Provider Name | Kathleen L Citrenbaum |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457490047 PECOS PAC ID: 9032166723 Enrollment ID: I20050405000678 |
Provider Name | Nasr N Anees |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265545321 PECOS PAC ID: 4880621416 Enrollment ID: I20050725001187 |
Provider Name | Srimati Sen Maiti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982627170 PECOS PAC ID: 1658308283 Enrollment ID: I20050725001248 |
Provider Name | Todd W Monroe |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528192754 PECOS PAC ID: 0941228506 Enrollment ID: I20051102001096 |
Provider Name | Wendy Lee Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154360154 PECOS PAC ID: 8022012434 Enrollment ID: I20060825000491 |
Provider Name | Karen Parker Anderson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083637318 PECOS PAC ID: 3678679974 Enrollment ID: I20070502000701 |
Provider Name | Guillermo Rios-rios |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376556035 PECOS PAC ID: 1759487820 Enrollment ID: I20070507000203 |
Provider Name | Nabeel A Saeed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760405492 PECOS PAC ID: 3678671658 Enrollment ID: I20070614000635 |
Provider Name | Juan M Perez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558411926 PECOS PAC ID: 9537269717 Enrollment ID: I20070717000746 |
Provider Name | Syd A Bakshandeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982820932 PECOS PAC ID: 3870684806 Enrollment ID: I20070806000632 |
Provider Name | Robert Cunningham Streeter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154432151 PECOS PAC ID: 6709853740 Enrollment ID: I20080627000288 |
Provider Name | Magdi S Mikhael |
---|---|
Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1790844363 PECOS PAC ID: 0648339200 Enrollment ID: I20081111000678 |
Provider Name | Eric J Watson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1902884265 PECOS PAC ID: 5991734196 Enrollment ID: I20081112000549 |
Provider Name | Ashley Bezaleel Benjamin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558383059 PECOS PAC ID: 7618862384 Enrollment ID: I20090623000294 |
Provider Name | Daniel P Lopez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619025426 PECOS PAC ID: 7517019136 Enrollment ID: I20090713000498 |
Provider Name | Ali R Berenji |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417077470 PECOS PAC ID: 2062556327 Enrollment ID: I20100224000634 |
Provider Name | Rosa Pascual |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457465247 PECOS PAC ID: 1456496389 Enrollment ID: I20100303000869 |
Provider Name | Veena Narayanah |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962600296 PECOS PAC ID: 6709921109 Enrollment ID: I20100310000497 |
Provider Name | Lucrecia Campos Juarez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801940887 PECOS PAC ID: 9335284736 Enrollment ID: I20100310000519 |
Provider Name | Mary T Ambler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154548899 PECOS PAC ID: 6305971680 Enrollment ID: I20100312000314 |
Provider Name | Thuc N D Ta |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497072128 PECOS PAC ID: 0042342362 Enrollment ID: I20100721000598 |
Provider Name | Douglas W Jacobson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1316058639 PECOS PAC ID: 3870634348 Enrollment ID: I20100819000147 |
Provider Name | Hideto Saito |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942498993 PECOS PAC ID: 2961695374 Enrollment ID: I20101018001285 |
Provider Name | Louise E Toutant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346463239 PECOS PAC ID: 2466647581 Enrollment ID: I20101115000248 |
Provider Name | Joanne B Schilperoort |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568796894 PECOS PAC ID: 2769670215 Enrollment ID: I20101228000128 |
Provider Name | Richard J Sarte |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477584027 PECOS PAC ID: 0749307445 Enrollment ID: I20110124000912 |
Provider Name | Virna M Veloso |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063473932 PECOS PAC ID: 4587841507 Enrollment ID: I20110531000478 |
Provider Name | Menashe Ehrenburg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275791436 PECOS PAC ID: 3274710728 Enrollment ID: I20110609000144 |
Provider Name | Heidi L Miller |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912238155 PECOS PAC ID: 9739367350 Enrollment ID: I20110630000586 |
Provider Name | Nicolas R Rodriguez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902193832 PECOS PAC ID: 0547438459 Enrollment ID: I20110720000549 |
Provider Name | Gagan Pawar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417110586 PECOS PAC ID: 5395914956 Enrollment ID: I20110816000598 |
Provider Name | Zhonghuan Ma |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851696249 PECOS PAC ID: 5597934026 Enrollment ID: I20110817000761 |
Provider Name | Marta Sarransingh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508097288 PECOS PAC ID: 3779754445 Enrollment ID: I20110929000387 |
Provider Name | Sandra Alvarado |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912274713 PECOS PAC ID: 8820264427 Enrollment ID: I20120103000650 |
Provider Name | Don R Stanley |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154492395 PECOS PAC ID: 2365470325 Enrollment ID: I20120120000343 |
Provider Name | Lourdes Lazatin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942424288 PECOS PAC ID: 4385806371 Enrollment ID: I20120509000355 |
Provider Name | Elsaid R Elrify |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770849101 PECOS PAC ID: 9133382906 Enrollment ID: I20120515000729 |
Provider Name | Jayashree Sathya Coca |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255343976 PECOS PAC ID: 6709844681 Enrollment ID: I20120523000321 |
Provider Name | Udit Chander Kondal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356583819 PECOS PAC ID: 0143498220 Enrollment ID: I20120531000639 |
Provider Name | Shadi Al Khatib |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386901593 PECOS PAC ID: 1456517945 Enrollment ID: I20120727000584 |
Provider Name | Karan D Singh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1851349047 PECOS PAC ID: 6709882251 Enrollment ID: I20120813000656 |
Provider Name | Anagha Suresh |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881951887 PECOS PAC ID: 7315194214 Enrollment ID: I20120828000902 |
Provider Name | Sonia Perez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578648051 PECOS PAC ID: 1951303338 Enrollment ID: I20120907000409 |
Provider Name | Peter K. Soliman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609073360 PECOS PAC ID: 1456529916 Enrollment ID: I20121119000312 |
Provider Name | Andrea C Salcedo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316274707 PECOS PAC ID: 6406007426 Enrollment ID: I20121121000085 |
Provider Name | Yasmin Sarafzadeh |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215197413 PECOS PAC ID: 8123267853 Enrollment ID: I20130617000682 |
Provider Name | Tiffany H Shu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1326213612 PECOS PAC ID: 4183863046 Enrollment ID: I20130625000734 |
Provider Name | Priyanka Gait |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679801856 PECOS PAC ID: 2668613548 Enrollment ID: I20130719000371 |
Provider Name | Tihele L Walkowsky |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902032808 PECOS PAC ID: 2668614496 Enrollment ID: I20130807000780 |
Provider Name | Andrew Y Cheng |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639301369 PECOS PAC ID: 9335390400 Enrollment ID: I20131029000526 |
Provider Name | Lisa E Acosta Erickson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821160383 PECOS PAC ID: 6204061005 Enrollment ID: I20131104000447 |
Provider Name | Elias A Murillo |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548535958 PECOS PAC ID: 4880822444 Enrollment ID: I20140106001550 |
Provider Name | Ellen R Monaco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689860231 PECOS PAC ID: 1658502000 Enrollment ID: I20140327001389 |
Provider Name | Ronald Goldstein |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659470144 PECOS PAC ID: 0648486522 Enrollment ID: I20140403002381 |
Provider Name | Preiya D Jain |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1679715916 PECOS PAC ID: 7315173739 Enrollment ID: I20140521000704 |
Provider Name | Siuchi Suen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396052643 PECOS PAC ID: 5597921239 Enrollment ID: I20140604000634 |
Provider Name | Amee Mehta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306133376 PECOS PAC ID: 8224253778 Enrollment ID: I20140625002541 |
Provider Name | Angela Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649557919 PECOS PAC ID: 2264657543 Enrollment ID: I20140630000060 |
Provider Name | Scott George Bourns |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699719708 PECOS PAC ID: 3971577339 Enrollment ID: I20140722002328 |
Provider Name | Margaret Goorsky |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265849806 PECOS PAC ID: 1355567108 Enrollment ID: I20140731000191 |
Provider Name | Vikram Naga Prasas Sarva Rama Murthi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053689372 PECOS PAC ID: 1658591938 Enrollment ID: I20141008002556 |
Provider Name | Nilda Susana Benmaor |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1811390024 PECOS PAC ID: 4486977428 Enrollment ID: I20141229000004 |
Provider Name | Edan Yodfat |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750576880 PECOS PAC ID: 7719136795 Enrollment ID: I20150119000355 |
Provider Name | Lindsay Ann Loft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013315316 PECOS PAC ID: 2163748641 Enrollment ID: I20150226002269 |
Provider Name | Leslie Mendoza |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538326541 PECOS PAC ID: 3577883198 Enrollment ID: I20150522000310 |
Provider Name | Ivone Umar Ghazaleh |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265738645 PECOS PAC ID: 2466773775 Enrollment ID: I20150611000835 |
Provider Name | Yolande Brizendine |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972982353 PECOS PAC ID: 5395057350 Enrollment ID: I20150702002646 |
Provider Name | May Chan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891179545 PECOS PAC ID: 7719291988 Enrollment ID: I20150731015508 |
Provider Name | Yvette Padilla |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396032702 PECOS PAC ID: 5597071167 Enrollment ID: I20150827000011 |
Provider Name | Yasaman Sakhakorn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285015115 PECOS PAC ID: 5799091013 Enrollment ID: I20150901003203 |
Provider Name | Padmapriya Senthilvelan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457585952 PECOS PAC ID: 8224286505 Enrollment ID: I20150924000979 |
Provider Name | Rajinder Maan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861747016 PECOS PAC ID: 7911216254 Enrollment ID: I20151027002116 |
Provider Name | Sam Mikhail |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245511476 PECOS PAC ID: 3971724626 Enrollment ID: I20151116001099 |
Provider Name | Liqiong Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083772552 PECOS PAC ID: 1052541117 Enrollment ID: I20151118002935 |
Provider Name | Arunima Agarwal |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528361540 PECOS PAC ID: 0042511180 Enrollment ID: I20151215002165 |
Provider Name | Laureen L Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124496203 PECOS PAC ID: 5193026011 Enrollment ID: I20151218001557 |
Provider Name | Judy Ann Galanter |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1689892739 PECOS PAC ID: 7911200209 Enrollment ID: I20160120001317 |
Provider Name | Lesley Evelyn Minich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083803753 PECOS PAC ID: 1456642016 Enrollment ID: I20160629000938 |
Provider Name | Suzarie V Spence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316339930 PECOS PAC ID: 6608169784 Enrollment ID: I20160727000920 |
Provider Name | Pallavi Kamra |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093061459 PECOS PAC ID: 2264748433 Enrollment ID: I20160809001625 |
Provider Name | Urvi Pradeep Vyas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730477142 PECOS PAC ID: 3375843980 Enrollment ID: I20160815001956 |
Provider Name | Katy Wan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245682061 PECOS PAC ID: 7517253461 Enrollment ID: I20160901001978 |
Provider Name | Madeline Sanchez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649619800 PECOS PAC ID: 4082900873 Enrollment ID: I20160902000732 |
Provider Name | Veena M. Verghese |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134479678 PECOS PAC ID: 3779735592 Enrollment ID: I20160907002430 |
Provider Name | Mayce Al Kuraishi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356773360 PECOS PAC ID: 7911293261 Enrollment ID: I20160913000413 |
Provider Name | Jennifer Anne Kadin |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700076809 PECOS PAC ID: 8921395682 Enrollment ID: I20160922002683 |
Provider Name | Elena Rubin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376087122 PECOS PAC ID: 1658652904 Enrollment ID: I20161229000904 |
Provider Name | Sarah A Dinkler |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1013467216 PECOS PAC ID: 9335424811 Enrollment ID: I20170323002709 |
Provider Name | Stephanie M Whittle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790003325 PECOS PAC ID: 6507081049 Enrollment ID: I20170605001977 |
Provider Name | Brigitte Wilburg |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215465018 PECOS PAC ID: 5496023038 Enrollment ID: I20170622001760 |
Provider Name | Erin E Holley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346667193 PECOS PAC ID: 1759651326 Enrollment ID: I20170714002109 |
Provider Name | Michelle Medley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427461151 PECOS PAC ID: 4284904079 Enrollment ID: I20170727001391 |
Provider Name | Amy Gowan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598109761 PECOS PAC ID: 2163793886 Enrollment ID: I20170728003038 |
Provider Name | Wikrom Chaiwatcharayut |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306259809 PECOS PAC ID: 1658672951 Enrollment ID: I20170801002156 |
Provider Name | Betty Gutman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023199510 PECOS PAC ID: 6800882796 Enrollment ID: I20170817004112 |
Provider Name | Wendy-ann L Sylvester |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578504148 PECOS PAC ID: 1951354265 Enrollment ID: I20171031001422 |
Provider Name | Doris A Elenes-sancho |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306116488 PECOS PAC ID: 0042570350 Enrollment ID: I20180206001804 |
Provider Name | Shirley Il Hartman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821468851 PECOS PAC ID: 5294095477 Enrollment ID: I20180208000158 |
Provider Name | Mayra A Cortes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477960599 PECOS PAC ID: 9436413424 Enrollment ID: I20180426002818 |
Provider Name | Manvir Sohal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144616194 PECOS PAC ID: 7911253281 Enrollment ID: I20180629001184 |
Provider Name | Nandinidevi Ramaswamy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245613348 PECOS PAC ID: 8729334958 Enrollment ID: I20180702000997 |
Provider Name | Phillip Aleksiejuk |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063844579 PECOS PAC ID: 6406136548 Enrollment ID: I20180709000942 |
Provider Name | James Richard Rohlfing |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235562158 PECOS PAC ID: 8022364611 Enrollment ID: I20180712001326 |
Provider Name | Annie Hovakemian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063935880 PECOS PAC ID: 8921358003 Enrollment ID: I20180911002732 |
Provider Name | Kenisha Voncille Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609359165 PECOS PAC ID: 7911242268 Enrollment ID: I20181214001982 |
Provider Name | Helena Okhotin Iarovicov |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497137632 PECOS PAC ID: 1759626732 Enrollment ID: I20181219001946 |
Provider Name | Trish B Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972002228 PECOS PAC ID: 6507104973 Enrollment ID: I20190208002763 |
Provider Name | Ragi N Maamari |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083123947 PECOS PAC ID: 7719226471 Enrollment ID: I20190225002996 |
Provider Name | Shannon Marie Kelly |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205187788 PECOS PAC ID: 3072854504 Enrollment ID: I20190410003054 |
Provider Name | Amanda Jane Setto |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073082335 PECOS PAC ID: 2466787452 Enrollment ID: I20190712002010 |
Provider Name | Daniel Demirchyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740639046 PECOS PAC ID: 6002142924 Enrollment ID: I20190730001544 |
Provider Name | Richard Joseph Skarda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679697114 PECOS PAC ID: 9133458466 Enrollment ID: I20190911001093 |
Provider Name | Fernando Cervantes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396179131 PECOS PAC ID: 5395076814 Enrollment ID: I20191015002629 |
Provider Name | Ramona M Bahnam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942653159 PECOS PAC ID: 1254763501 Enrollment ID: I20191107001849 |
Provider Name | Windy L. Bromley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174083984 PECOS PAC ID: 4082048632 Enrollment ID: I20200107002308 |
Provider Name | Tarika Singh Balyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619405867 PECOS PAC ID: 7315373859 Enrollment ID: I20200131002750 |
Provider Name | Ashley L Netrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467926725 PECOS PAC ID: 3173950094 Enrollment ID: I20200305000167 |
Provider Name | Yesenia C Dominguez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215387139 PECOS PAC ID: 9436589447 Enrollment ID: I20200415000560 |
Provider Name | Alejandro Ignacio Tinsly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982007787 PECOS PAC ID: 2668769878 Enrollment ID: I20200522000548 |
Provider Name | Lydia Dharshini Suryakumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225564750 PECOS PAC ID: 5193094555 Enrollment ID: I20200619001053 |
Provider Name | Allan D Laird |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174665640 PECOS PAC ID: 2668715939 Enrollment ID: I20200721002917 |
Provider Name | Maria Vanoni |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447395926 PECOS PAC ID: 8628498417 Enrollment ID: I20201016000283 |
Provider Name | Talin Vivian Davidian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033768924 PECOS PAC ID: 4284044546 Enrollment ID: I20201028001039 |
Provider Name | Rachel Cecelia Szatkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356944631 PECOS PAC ID: 8224441704 Enrollment ID: I20201229002450 |
Provider Name | Fernando Cervantes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396179131 PECOS PAC ID: 5395076814 Enrollment ID: I20210111000254 |
Provider Name | Taj-zsa Marie Hower |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679949192 PECOS PAC ID: 4284042805 Enrollment ID: I20210421000422 |
Provider Name | Charita Weekly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497094304 PECOS PAC ID: 8921248543 Enrollment ID: I20210604001517 |
Provider Name | Olivia Low |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730685397 PECOS PAC ID: 1658793013 Enrollment ID: I20210630003999 |
Provider Name | Natalia C. Santizo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972275022 PECOS PAC ID: 2062810286 Enrollment ID: I20211001001430 |
Provider Name | Zeena Zaynab Al-tai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205367349 PECOS PAC ID: 0446679518 Enrollment ID: I20211001002074 |
Provider Name | Mania Ghanem |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285302901 PECOS PAC ID: 3375941784 Enrollment ID: I20211014001754 |
Provider Name | Parastoo Modir |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1972091213 PECOS PAC ID: 4688072028 Enrollment ID: I20211014003024 |
Provider Name | Anh T Pham |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609325711 PECOS PAC ID: 5193086106 Enrollment ID: I20211108002045 |
Provider Name | Lidia Jara |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891936332 PECOS PAC ID: 9638568355 Enrollment ID: I20211117002573 |
Provider Name | Claudio Cardenas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033882295 PECOS PAC ID: 8820489719 Enrollment ID: I20220104001256 |
Provider Name | Gurlal Sohal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790452647 PECOS PAC ID: 8022495639 Enrollment ID: I20220520001729 |
Provider Name | Lisa Ha Maier |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154753770 PECOS PAC ID: 0941688329 Enrollment ID: I20220526001786 |
Provider Name | Ishita Bhauch Patel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780245563 PECOS PAC ID: 7315320421 Enrollment ID: I20220822002242 |
Provider Name | Farshid Bozorgnia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922493220 PECOS PAC ID: 7719294222 Enrollment ID: I20220908000724 |
Provider Name | Victoria Escobar Moor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881367159 PECOS PAC ID: 4880950112 Enrollment ID: I20221121000944 |
Provider Name | Angela P Sepulveda Velez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922505494 PECOS PAC ID: 8921425471 Enrollment ID: I20221201000939 |
Provider Name | Emily E Ewing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386388858 PECOS PAC ID: 8527430933 Enrollment ID: I20230213002030 |
Provider Name | James Catlin Caines |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972162915 PECOS PAC ID: 5496141665 Enrollment ID: I20230227001161 |
Provider Name | Shyam Kolangara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497138499 PECOS PAC ID: 6800192998 Enrollment ID: I20230602001456 |
Provider Name | Yennifer Y Gil Castano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205472990 PECOS PAC ID: 3971961749 Enrollment ID: I20230627001023 |
Provider Name | Manuel F Beltran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538705462 PECOS PAC ID: 0042679672 Enrollment ID: I20230629003220 |
Provider Name | Shawnie Danielle Kelsea Pascall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982221131 PECOS PAC ID: 3577922319 Enrollment ID: I20230711002511 |
Provider Name | Megumi Sugimoto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518595313 PECOS PAC ID: 4981012382 Enrollment ID: I20230901000059 |
Provider Name | Laura Farhat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194937102 PECOS PAC ID: 1254481179 Enrollment ID: I20230901002593 |
Provider Name | Sterling Gregory Adams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629539887 PECOS PAC ID: 7214342898 Enrollment ID: I20230929003317 |
Provider Name | Rosa Maria Lazarovits |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1184016180 PECOS PAC ID: 7810347739 Enrollment ID: I20231219000728 |
Provider Name | Edward Sedeno Lara |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1114156544 PECOS PAC ID: 0345690434 Enrollment ID: I20240102003389 |
Provider Name | Maria Cristina Bonilla |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1407188915 PECOS PAC ID: 1850742685 Enrollment ID: I20240105002637 |
Provider Name | William D. Jenkins |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1841488723 PECOS PAC ID: 0547611055 Enrollment ID: I20240109004098 |
Provider Name | Chris Boseovski |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1508940107 PECOS PAC ID: 2264827914 Enrollment ID: I20240321003305 |
Provider Name | Kelsi Marie Rau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972173359 PECOS PAC ID: 0244622033 Enrollment ID: I20240412003730 |
Provider Name | Naasir Lakhani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033731930 PECOS PAC ID: 6406278407 Enrollment ID: I20240426002909 |
Provider Name | Kevin Seung Joon Shin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669095741 PECOS PAC ID: 7315387651 Enrollment ID: I20240502003542 |
Family To Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Petit Ave, Suite D, Ventura, CA 93004 Phone: 805-659-1166 Fax: 805-659-5765 | |
John Padour Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 N Brent St., Suite 201, Ventura, CA 93003 Phone: 805-641-1800 Fax: 805-653-7468 | |
Cmh Centers For Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4730 Telephone Rd, Ventura, CA 93003 Phone: 805-643-1871 Fax: 805-639-0786 | |
Brent Street Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 N Brent St, Ste 502, Ventura, CA 93003 Phone: 805-641-2000 Fax: 805-653-1644 | |
James F Mitchell Jr Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Loma Vista Rd Ste 205, Ventura, CA 93003 Phone: 805-585-3086 | |
Robert Keith Moffatt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 N Dos Caminos Ave, Ventura, CA 93003 Phone: 805-653-5070 Fax: 805-653-8099 | |
Community Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 E Main St, Ventura, CA 93003 Phone: 805-667-2801 Fax: 805-667-2865 |