DR. DAVID ROSS HENNERMAN (NPI# 1962548412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962548412 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROSS HENNERMAN |
| Credential | PHD |
| Practice Address |
200 S Wells Rd Suite 250 Clinicas Del Camino Real Ventura CA 93004 |
| Mailing Address |
352 N Glen Ellen Dr Ventura CA 93003 |
| Practice Telephone | 8056591740 |
| Practice Fax Number | 8056599959 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
PSY 16708 | CA | Behavioral Health & Social Service Providers |
| Street Address |
200 S WELLS RD SUITE 250 CLINICAS DEL CAMINO REAL |
| City | VENTURA |
| State | CA |
| Zip Code | 93004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938109 | Fouzia Anwar Aftab | Family Medicine | 200 S Wells Rd, Suite 100 Clinicas Del Camino Real Inc, Ventura, CA 93004 | 2006-07-22 |
| 1699277046 | Vivek Singh | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2018-03-01 |
| 1134672280 | Klara Efner | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-25 |
| 1427400688 | Kai Chang | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-12 |
| 1124496203 | Laureen Lopez Berry | Nurse Practitioner | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-09-08 |
| 1891179545 | May Chan | Optometrist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-07-13 |
| 1669854741 | Aillie Hu | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-06-24 |
| 1861879025 | Americashealth Plan, Inc. | Health Maintenance Organization | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-04-27 |
| 1952792335 | Natalie Ferris | Physician Assistant | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-02-06 |
| 1992195127 | Nisha Dilip Patel | Dentist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
| 1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
| 1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
| 1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
| Find all providers in zip 93004 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
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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.