Organization Active NPI

Ventura County Gastroenterology Medical Group

  • Gastroenterology Physician
  • Camarillo, CA
National Provider Identifier
1013191253
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0800075083 Issued in CA
Legal business name
VENTURA COUNTY GASTROENTEROLOGY MEDICAL GROUP
Practice address
2486 N Ponderosa Dr
Suite D-206
Camarillo, CA 93010-2376
Phone
(805) 983-0521
Fax
(805) 983-4186
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Ms. Rita Ostrander
Title
Billing / Coder
Phone
(805) 983-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 0800075083 CA Primary

Addresses

Primary practice location

2486 N Ponderosa Dr
Suite D-206
Camarillo, CA 93010-2376

Mailing address

2486 Ponderosa Drive North
Suite D-206
Camarillo, CA 93010
Phone (805) 983-0521

National Provider Directory

National Provider Directory

Locations

2486 N Ponderosa Dr
Ste D206
Camarillo, CA 93010
Phone (805) 983-0521

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1013191253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA DRIVE NORTH",
            "address_2": "SUITE D-206",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR",
            "address_2": "SUITE D-206",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY GASTROENTEROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING / CODER",
        "authorized_official_telephone_number": "805-983-0521",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "0800075083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.