ROD BLOURTCHI (NPI# 1902317423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902317423 |
| Entity Type | Individual |
| Full Name | ROD BLOURTCHI |
| Credential | PA |
| Practice Address |
2221 Wankel Way Oxnard CA 93030-0192 |
| Mailing Address |
3525 Loma Vista Rd Ste A Ventura CA 93003-3101 |
| Practice Telephone | 8059889366 |
| Practice Fax Number | 8054833747 |
| Mailing Telephone | 8056416415 |
| Mailing Fax Number | 8056416495 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA54850 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2221 WANKEL WAY |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-0192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111380 | Kevin Mark Deitel | Orthopaedic Surgery | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2005-06-01 |
| 1356957047 | Matthew L. Bloom, D.o., PC | Physical Medicine & Rehabilitation | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2020-09-18 |
| 1790248508 | Ventura Orthopedics Medical Group, Inc. | Specialist | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2019-04-09 |
| 1750852752 | Cara Nicole Kahm | Physical Therapist | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2018-12-17 |
| 1457829400 | Raymond S. Pierson, Md | Physical Medicine & Rehabilitation | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2018-11-07 |
| 1598265639 | Katelyn Vadis Kraus | Physical Therapist | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2018-02-15 |
| 1376053728 | Nicholas Ryan Campbell | Physician Assistant | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2017-10-11 |
| 1528592995 | J Mac Hirst | Physical Therapist | 2221 Wankel Way, Oxnard, CA 93030 | 2017-04-12 |
| 1801273305 | Matthew Lee Bloom | Physical Medicine & Rehabilitation | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2015-05-04 |
| 1740690270 | John Ryan Quinn | Orthopaedic Surgery | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2014-05-06 |
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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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.