County of Ventura
Organization Active NPI Community/Behavioral Health Agency · Fillmore, CA
NPI 1013129782 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1013129782
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF VENTURA
- Practice address
- 828 W Ventura St
Suite 250
Fillmore, CA 93015-1876 - Phone
- (805) 524-8644
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Karen Lee
- Title
- Quality Care Management
- Phone
- (805) 981-6830
Other NPIs on the same Medicare enrollment 38
Corporate family (same tax ID) 12
Practitioners 10
-
Wendi Amezquita, LCSW
-
Melissa Kristine Cruz, M.S.
-
Linden Reed Doss, M.D.
-
Sylwia Kamboj, PT
-
Sahar Vafadar, PT, DPT
-
Ryan J Vela, M.D.
-
Scott Richard Chicotka, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000587 | CA | Part B Supplier - Clinic/Group Practice | 7911810171 |
Receives reassigned benefits from 748 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ventura, CA; Fillmore, CA; Thousand Oaks, CA; Camarillo, CA; Oxnard, CA; Santa Paula, CA; Simi Valley, CA |
National Provider Directory
- Tax ID family
- Penfield Mtu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
828 W Ventura St
Suite 250
Fillmore, CA 93015-1876
Mailing address
1911 Williams Dr Ste 200
Oxnard, CA 93036-0673
Phone (805) 981-5478
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56AH | Other | CA | PIMS |
Other names
- VCBH - Fillmore Substance Use Services
Other providers in Fillmore, CA
- Community Memorial Health System
- Community Memorial Hospital
- Community Pharmacy
- Compassionate Home Care LLC
- Richard Corral
- County of Ventura
- County of Ventura
- Ryan A Davis
- Mariela De Santiago
- Edna Ann Dean
All providers in Fillmore, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.