CHANNEL ISLAND OBSTETRICS AND GYNECOLOGIC MEDICAL GROUP (NPI# 1598754780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598754780 |
| Entity Type | Organization |
| Organization Name | CHANNEL ISLAND OBSTETRICS AND GYNECOLOGIC MEDICAL GROUP |
| Practice Address |
2486 Ponderosa Dr North Ste D202 Camarillo CA 93010 |
| Practice Telephone | 8054824641 |
| Practice Fax Number | 8053888751 |
| Mailing Telephone | 8054824641 |
| Mailing Fax Number | 8053888751 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | STEPHEN P. CARTER (GENERAL PARTNER/PHYSICIAN) |
| Authorized Official Telephone | 8054824641 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ========= | Allopathic & Osteopathic Physicians | |
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0087730 | 05 |
| Street Address |
2486 PONDEROSA DR NORTH STE D202 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730262924 | Right Touch Services | Obstetrics & Gynecology | 4373 Calle Mapache, Camarillo, CA 93012 | 2006-10-23 |
| 1679501993 | Patricia D. Lanter | Obstetrics & Gynecology | 2486 N Ponderosa Dr Ste D202, Camarillo, CA 93010-2470 | 2006-06-28 |
| 1447418413 | Center for Women's Well Being | Obstetrics & Gynecology | 445 Rosewood Ave Ste C, Camarillo, CA 93010-5930 | 2008-05-27 |
| 1285810762 | Jodi Christine Ferro | Obstetrics & Gynecology | 2486 N Ponderosa Dr, Camarillo, CA 93010-2376 | 2008-01-15 |
| 1881818755 | Stacey S Fine | Obstetrics & Gynecology | 2486 N Ponderosa Dr Ste D205, Camarillo, CA 93010-2471 | 2007-04-12 |
| 1780739144 | Stephen Carter | Obstetrics & Gynecology | 2486 N Ponderosa Dr Ste D202, Camarillo, CA 93010 | 2007-01-24 |
| 1982759247 | Maynard Belzer | Obstetrics & Gynecology | 2486 N Ponderosa Dr Ste D202, Camarillo, CA 93010 | 2007-01-24 |
| 1366508848 | Aimee Brecht-doscher M.d. A Medical Corp. | Obstetrics & Gynecology | 3901 Las Posas Rd, Suite 100, Camarillo, CA 93010-1501 | 2006-12-28 |
| 1255499158 | Gary Swanson | Obstetrics & Gynecology | 3901 Las Posas Rd, #100, Camarillo, CA 93010-1501 | 2006-12-04 |
| 1336213230 | The Woman's Place for Health, Inc. | Obstetrics & Gynecology | 3901 Las Posas Rd, Suite 207, Camarillo, CA 93010-1506 | 2006-11-20 |
| Find all providers in CAMARILLO | ||||
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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.