CHARLOTTE BOURDILLON


Address: 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003-1651
Phone: 8056526100

CHARLOTTE BOURDILLON (NPI# 1972163889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972163889
Entity Type Individual
Full Name CHARLOTTE BOURDILLON
Credential MD
Practice Address 300 Hillmont Ave
Bldg 340, Suite 201
Ventura
CA 93003-1651
Mailing Address 800 S Victoria Ave # L4615
Ventura
CA 93009-0003
Practice Telephone 8056526100
Mailing Telephone 8056775181
Enumeration Date 2019-06-13
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 300 HILLMONT AVE
BLDG 340, SUITE 201
City VENTURA
State CA
Zip Code 93003-1651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417999137 Ventura County Medical Center General Acute Care Hospital 300 Hillmont Ave, Ventura, CA 93003-1651 2006-06-11
1740899145 Ruth Bannatz Registered Nurse 300 Hillmont Ave, Ventura, CA 93003-1651 2020-07-31
1144847609 Jody Jean Giacopuzzi Social Worker 300 Hillmont Ave, Ventura, CA 93003-1651 2020-07-01
1356964167 Christopher Zeman Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 201, Ventura, CA 93003 2020-05-27
1144843319 Mariam Asper Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 101&201, Ventura, CA 93003 2020-05-22
1154944379 Katia Lee Margaret Cnop Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 101&201, Ventura, CA 93003 2020-05-21
1225667421 Katsiaryna Malykhina Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Ventura, CA 93003-1651 2020-04-08
1114560174 Pejman Javaheri Pharmacist 300 Hillmont Ave, Ventura, CA 93003-1651 2019-10-23
1124675483 Ya-whey Wu Pharmacist 300 Hillmont Ave, Ventura, CA 93003-1651 2019-08-21
1083260053 Shanel Loren Alvarado Stadheim Nurse Practitioner 300 Hillmont Ave, Ventura, CA 93003-1651 2019-08-14
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1962934356 Mitchell Darren Datlow Student in an Organized Health Care Education/Training Program 4601 Vanderbilt Ct, Ventura, CA 93003-1929 2017-04-03
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
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

Improve Information

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Dataset Information

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.

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