VENTURA TRAUMA/SURGICAL CRITICAL CARE MEDICAL CORPORATION (NPI# 1376779249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376779249 |
| Entity Type | Organization |
| Organization Name | VENTURA TRAUMA/SURGICAL CRITICAL CARE MEDICAL CORPORATION |
| Practice Address |
1700 N Rose Ave Oxnard CA 93030-3790 |
| Practice Telephone | 8059887077 |
| Mailing Telephone | 8059887077 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. BRIAN JAMES KIMBRELL (PRESIDENT) |
| Authorized Official Telephone | 8059887077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
AO67135 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1700 N ROSE AVE |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-3790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778712 | Suckchai Tulathimutte | Surgery | 1700 N Rose Ave, Ste 430, Oxnard, CA 93030-7657 | 2005-05-23 |
| 1659777431 | Rajesh Rai | Pharmacist | 1700 N Rose Ave, 140, Oxnard, CA 93030-3790 | 2014-11-06 |
| 1366847014 | Andrew R. Weymer, Md A Professional Corporation | Internal Medicine | 1700 N Rose Ave, Suite # 350, Oxnard, CA 93030-3790 | 2014-10-23 |
| 1073925814 | Alicia Zaragoza | Nurse Practitioner | 1700 N Rose Ave, Suite 145, Oxnard, CA 93030-3790 | 2014-05-28 |
| 1669716387 | Mani Kalantari Nezhad | Psychiatry & Neurology | 1700 N Rose Ave, Ste 220, Oxnard, CA 93030 | 2012-11-19 |
| 1215227095 | David W Orias M D Inc | Specialist | 1700 N Rose Ave, 420, Oxnard, CA 93030-3790 | 2011-04-13 |
| 1710117932 | Kelvin S Wong | Urology | 1700 N Rose Ave, Suite 370, Oxnard, CA 93030-3790 | 2009-07-22 |
| 1942454442 | Orthopedic Hospitalists of Oxnard PC | Orthopaedic Surgery | 1700 N Rose Ave, Oxnard, CA 93030-3790 | 2008-11-11 |
| 1720240716 | Jaime Arana | Surgery | 1700 N Rose Ave, Suite 430, Oxnard, CA 93030-3790 | 2008-06-30 |
| 1831365667 | California Healthfirst Physicians | Internal Medicine | 1700 N Rose Ave, Suite 210, Oxnard, CA 93030-3790 | 2008-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
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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.