PDAP OF VENTURA COUNTY, INC. (NPI# 1376663336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376663336 |
| Entity Type | Organization |
| Organization Name | PDAP OF VENTURA COUNTY, INC. |
| Other Organization Name | PALMER DRUG ABUSE PROGRAM OF VENTURA COUNTY, INC. |
| Practice Address |
1048 W Ventura St Fillmore CA 93015-1758 |
| Mailing Address |
Po Box 3212 Camarillo CA 93011-3212 |
| Practice Telephone | 8054821265 |
| Practice Fax Number | 8053895295 |
| Mailing Telephone | 8054821265 |
| Mailing Fax Number | 8053895295 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VIRGINIA MARY CONNELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8054821265 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 560015GN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5673 | 05 |
| Other Name | Type Code |
|---|---|
| Palmer Drug Abuse Program of Ventura County, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629374699 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 1500 Temple Ave, Camarillo, CA 93010-3602 | 2011-02-08 |
| 1457657421 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 2304 Antonio Ave, Camarillo, CA 93010-1415 | 2011-02-08 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1952606162 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 126 E 7th St, Oxnard, CA 93030-7119 | 2011-01-19 |
| 1629198684 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 280 Casey Rd, Moorpark, CA 93021-1131 | 2007-03-30 |
| 1003936063 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 196 N Ashwood Ave, Ventura, CA 93003-1810 | 2007-03-30 |
| 1972623007 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Avenue, Suite 215, Camarillo, CA 93010-5914 | 2007-03-30 |
| 1669592747 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 940 E Main St, Santa Paula, CA 93060-2714 | 2007-03-30 |
| 1346360930 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2007-03-29 |
| Street Address |
1048 W VENTURA ST |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| Find all providers in zip 93015 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013129782 | Ventura County Alcohol and Drug Programs | Community/Behavioral Health | 828 W Ventura St, Suite 250, Fillmore, CA 93015-1876 | 2007-05-04 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1174761761 | Life Center of America | Community/Behavioral Health | 808 River St, Fillmore, CA 93015-1801 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| 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.