MITCHELL DARREN DATLOW (NPI# 1962934356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962934356 |
| Entity Type | Individual |
| Full Name | MITCHELL DARREN DATLOW |
| Credential | M.D. |
| Practice Address |
4601 Vanderbilt Ct Ventura CA 93003-1929 |
| Practice Telephone | 8052188272 |
| Mailing Telephone | 8052188272 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4601 VANDERBILT CT |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-1929 |
| 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 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1225658875 | Addison Kaplan | Student in an Organized Health Care Education/Training Program | 375 Lynnbrook Ave, Ventura, CA 93003-2211 | 2020-04-23 |
| 1205493665 | Jemma Alarcon | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave Ste 201, Ventura, CA 93003-1651 | 2019-05-21 |
| 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 |
| 1205342565 | Nicholas Glover | Student in an Organized Health Care Education/Training Program | 1108a Dover Ln, Ventura, CA 93001-3806 | 2017-12-22 |
| 1942721527 | Richard Alan Yusim | Student in an Organized Health Care Education/Training Program | 250 Sequoia Ave, Ventura, CA 93003-2539 | 2017-07-04 |
| 1235582453 | Jessica Rae Lugotoff | Student in an Organized Health Care Education/Training Program | 11311 Santa Ana Rd, Ventura, CA 93001-9769 | 2016-07-22 |
| 1023467537 | Peter Richard Achenbach | Student in an Organized Health Care Education/Training Program | 6194 Cardinal St, Ventura, CA 93003-6512 | 2016-06-06 |
| 1912383076 | Tisch Hernandez | Student in an Organized Health Care Education/Training Program | 109 N Santa Rosa St, Ventura, CA 93001-3444 | 2015-07-30 |
| Find all providers in VENTURA | ||||
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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.