CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS (NPI# 1295800308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295800308 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS |
| Other Organization Name | CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP |
| Practice Address |
168 N Brent St Suite 508 Ventura CA 93003-2817 |
| Practice Telephone | 8056432375 |
| Practice Fax Number | 8056433511 |
| Mailing Telephone | 8056432375 |
| Mailing Fax Number | 8056433511 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | DR. LAMAR J. BUSHNELL (PARTNER) |
| Authorized Official Telephone | 8056432375 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| California Cardiac Surgeons - A Medical Group | Doing Business As Name - Organization |
| Street Address |
168 N BRENT ST SUITE 508 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919133 | Jeffrey C Brackett | Internal Medicine | 168 N Brent St, Ste 503, Ventura, CA 93003-2840 | 2005-06-01 |
| 1932731866 | Sally F Mcnally | Advanced Practice Midwife | 168 N Brent St, Ventura, CA 93003-2817 | 2020-02-08 |
| 1710367693 | Stephan Sweet, M.d. Inc. | Orthopaedic Surgery | 168 N Brent St, Ste 505, Ventura, CA 93003-2817 | 2015-06-04 |
| 1518363001 | Robert T Mazurek M D A Professional | Specialist | 168 N Brent St, Suite 501, Ventura, CA 93003-2817 | 2014-11-10 |
| 1013312594 | Antulio B Aroche Jr Do A Professional Corporation | Orthopaedic Surgery | 168 N Brent St, Suite 505, Ventura, CA 93003-2817 | 2014-10-27 |
| 1861738718 | Diane Jeanne Milstead | Advanced Practice Midwife | 168 N Brent St, 407, Ventura, CA 93003-2817 | 2012-12-21 |
| 1699011569 | Ventura County Neurosurgery Associates Medical Group | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-21 |
| 1083950018 | David L. Westra, Md, A Professional Corporation | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-19 |
| 1164768107 | Michael J Dorsi, M.d., A Professional Corporation | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-19 |
| 1164766291 | Tracy Ann Lyou | Nurse Practitioner | 168 N Brent St, Suite 502, Ventura, CA 93003-2817 | 2012-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760582159 | Lamar J. Bushnell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 N. Brent Street, Suite 102, Ventura, CA 93003-2838 | 2006-09-25 |
| 1114027505 | Berkeley Brandt IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 N Brent St, Suite 102, Ventura, CA 93003-2816 | 2006-09-25 |
| 1942300330 | Dominic J. Tedesco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 N Brent St, Suite 102, Ventura, CA 93003-2816 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.