VENTURA COUNTY GASTROENTEROLOGY MEDICAL GROUP (NPI# 1013191253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013191253 |
| Entity Type | Organization |
| Organization Name | VENTURA COUNTY GASTROENTEROLOGY MEDICAL GROUP |
| Practice Address |
2486 N Ponderosa Dr Suite D-206 Camarillo CA 93010-2376 |
| Mailing Address |
2486 Ponderosa Drive North Suite D-206 Camarillo CA 93010 |
| Practice Telephone | 8059830521 |
| Practice Fax Number | 8059834186 |
| Mailing Telephone | 8059830521 |
| Mailing Fax Number | 8059834186 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | MS. RITA OSTRANDER (BILLING / CODER) |
| Authorized Official Telephone | 8059830521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0800075083 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2486 N PONDEROSA DR SUITE D-206 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758171 | William Douglas Bocash | Pediatrics | 2486 N Ponderosa Dr, Ste D211, Camarillo, CA 93010-2376 | 2005-05-24 |
| 1346785649 | Orthopedic and Spine Institute of Southern California, Inc. | Orthopaedic Surgery | 2486 N Ponderosa Dr, Ste D114, Camarillo, CA 93010-2376 | 2016-12-23 |
| 1053863654 | Christina Velasco | Nurse Practitioner | 2486 N Ponderosa Dr, Ste D114, Camarillo, CA 93010-2469 | 2016-10-30 |
| 1487904397 | Pamela Elizabeth Mikita | Physical Therapy Assistant | 2486 N Ponderosa Dr, Camarillo, CA 93010-2376 | 2012-09-18 |
| 1841456118 | Herbert W Percival Md A Prof Corp | Orthopaedic Surgery | 2486 N Ponderosa Dr, Ste D 114, Camarillo, CA 93010-2376 | 2008-08-05 |
| 1285810762 | Jodi Christine Ferro | Obstetrics & Gynecology | 2486 N Ponderosa Dr, Camarillo, CA 93010-2376 | 2008-01-15 |
| 1467506907 | Spencer Eye Surgery and Laser Center | Clinic/Center | 2486 N Ponderosa Dr, Suite D110, Camarillo, CA 93010-2376 | 2007-01-22 |
| 1942372909 | Jon H Williams | Podiatrist | 2486 N Ponderosa Dr, Suite D-100, Camarillo, CA 93010-2376 | 2006-11-14 |
| 1255415212 | Tanya Louise Masako Behl | Physical Therapist | 2486 N Ponderosa Dr, Suite D-106, Camarillo, CA 93010-2376 | 2006-10-25 |
| 1790895514 | Jeffrey Ballard | Orthopaedic Surgery | 2486 N Ponderosa Dr, D-114, Camarillo, CA 93010-2376 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558673566 | Laya Nasrollah | Internal Medicine | 5800 Santa Rosa Rd Ste 149, Camarillo, CA 93012-7061 | 2010-07-07 |
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| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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| 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.