COMMUNITY MEMORIAL HEALTH SYSTEM (NPI# 1104865518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104865518 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTH SYSTEM |
| Other Organization Name | CMH CENTERS FOR FAMILY HEALTH |
| Practice Address |
422 Arneill Rd Suite B Camarillo CA 93010-6439 |
| Mailing Address |
5855 Olivas Park Dr Ventura CA 93003-7672 |
| Practice Telephone | 8053934510 |
| Practice Fax Number | 8053834511 |
| Mailing Telephone | 8056672801 |
| Mailing Fax Number | 8056672865 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. GARY WILDE (CEO) |
| Authorized Official Telephone | 8056525011 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT40394F | 05 |
| Other Name | Type Code |
|---|---|
| CMH Centers for Family Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1659656775 | Community Memorial Health System | Clinic/Center | 321 E Port Hueneme Rd, Port Hueneme, CA 93041-3222 | 2011-10-20 |
| 1063456903 | Community Memorial Health System | Clinic/Center | 4730 Telephone Rd, Ventura, CA 93003-5210 | 2006-06-15 |
| 1124067574 | Community Memorial Health System | Clinic/Center | 250 Citrus Grove Ln, #150, Oxnard, CA 93036-9030 | 2006-06-04 |
| 1689612798 | Community Memorial Health System | Clinic/Center | 242 E Harvard Blvd, Suite C, Santa Paula, CA 93060-3372 | 2006-06-02 |
| 1932732609 | Community Memorial Health System | Clinic/Center | 3655 W 5th St, Oxnard, CA 93030-6424 | 2020-02-20 |
| 1619453982 | Community Memorial Health System | Obstetrics & Gynecology | 2900 Loma Vista Rd Ste 205, Ventura, CA 93003-2909 | 2018-07-19 |
| 1700303633 | Community Memorial Health System | Clinic/Center | 168 N Brent Street, 302, Ventura, CA 93003 | 2017-08-22 |
| 1508222506 | Community Memorial Health System | Clinic/Center | 258 E Harvard Blvd, Santa Paula, CA 93060 | 2016-01-06 |
| 1083001010 | Community Memorial Health System | Clinic/Center | 2721 E Main St, Ventura, CA 93003-2803 | 2015-04-16 |
| Street Address |
422 ARNEILL RD SUITE B |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710924543 | Arturo Marcus Sidransky | Emergency Medicine | 422 Arneill Rd, Ste B, Camarillo, CA 93010-6439 | 2006-06-01 |
| 1760788566 | Marc Elliott Wright | Family Medicine | 422 Arneill Rd, Ste B, Camarillo, CA 93010-6439 | 2011-01-27 |
| 1053598276 | Maya Bose Vinod | Pediatrics | 422 Arneill Rd, Ste B, Camarillo, CA 93010-6439 | 2008-01-30 |
| 1679662035 | Barbara Yost Elices | Registered Nurse | 422 Arneill Rd, Suite B, Camarillo, CA 93010-6439 | 2006-10-12 |
| 1417995754 | Brian Scott Santini | Internal Medicine | 422 Arneill Rd, Ste B, Camarillo, CA 93010-6439 | 2006-06-02 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297190 | Clinicas Del Camino Real Inc | Clinic/Center | 730 Paseo Camarillo, Camarillo, CA 93010-6064 | 2019-04-01 |
| 1386937977 | Dignity Health Medical Foundation | Clinic/Center | 5051 Verdugo Way Ste 100, Camarillo, CA 93012-8681 | 2011-05-16 |
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| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.