NPIMap

Organization Active NPI

Pdap of Ventura County, Inc.

  • Community/Behavioral Health Agency
  • Ventura, CA
National Provider Identifier
1003936063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
560015FN Issued in CA
Legal business name
PDAP OF VENTURA COUNTY, INC.
Practice address
196 N Ashwood Ave
Ventura, CA 93003-1810
Phone
(805) 482-1265
Fax
(805) 389-5295
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia Mary Connell, MFT
Title
Executive Director
Phone
(805) 482-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 560015FN CA Primary

Addresses

Primary practice location

196 N Ashwood Ave
Ventura, CA 93003-1810

Mailing address

PO Box 3212
Camarillo, CA 93011-3212
Phone (805) 482-1265

Other identifiers 1

IdentifierTypeStateIssuer
5673MedicaidCA

Other names 1

  • Palmer Drug Abuse Program of Ventura County Other name

National Provider Directory

National Provider Directory
Tax ID family
Pdap of Ventura County11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

196 N Ashwood Ave
Ventura, CA 93003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003936063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3212",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930113212",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 N ASHWOOD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031810",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDAP OF VENTURA COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-482-1265",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "560015FN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Drug Abuse Program of Ventura County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.