VENTURA ORTHOPEDIC SPINE, INC (NPI# 1831440981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831440981 |
| Entity Type | Organization |
| Organization Name | VENTURA ORTHOPEDIC SPINE, INC |
| Practice Address |
168 N Brent St Suite 505 Ventura CA 93003-2840 |
| Practice Telephone | 8056483902 |
| Practice Fax Number | 8056484014 |
| Mailing Telephone | 8056483902 |
| Mailing Fax Number | 8056484014 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | DR. SAMUEL SMALL (PRESIDENT) |
| Authorized Official Telephone | 8056483902 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
20A4466 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
168 N BRENT ST SUITE 505 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2840 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013312594 | Antulio B Aroche Jr Do A Professional Corporation | Orthopaedic Surgery | 168 N Brent St, Suite 505, Ventura, CA 93003-2817 | 2014-10-27 |
| 1932499332 | Sohrab Pahlavan | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2011-04-19 |
| 1215964994 | Stephen R. Shaw | Orthopaedic Surgery | 3418 Loma Vista Rd, Suite B, Ventura, CA 93003-3016 | 2006-06-27 |
| 1275578916 | Stephen R. Shaw, M.d., Inc. | Orthopaedic Surgery | 3418 Loma Vista Rd, Suite B, Ventura, CA 93003-3016 | 2006-06-17 |
| 1992761894 | Samuel D Small | Orthopaedic Surgery | 168 N Brent St, 505, Ventura, CA 93003-2817 | 2006-04-21 |
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|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.