Individual provider Active NPI

Colette B Frena, NP

  • Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1023137247
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN113806 Issued in GA
Practice address
3555 Loma Vista Rd Ste 110
Ventura, CA 93003-3161
Phone
(805) 653-0303
Fax
(805) 642-1928
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN113806 GA Primary

Addresses

Primary practice location

3555 Loma Vista Rd Ste 110
Ventura, CA 93003-3161

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013002425 CA Practitioner - Nurse Practitioner 1153591409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

2772 Johnson Dr
Suite 200
Ventura, CA 93003-7262
Phone (805) 642-1430

3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161
Phone (805) 653-0303

888 W Ventura Blvd
Suite a
Camarillo, CA 93010-8803
Phone (805) 383-7701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20740CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc CurrentSince Dec 10, 2018 Accepting new patients
Wellstar Health System, Inc. Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

26 S Garden St
Ste I
Ventura, CA 93001
Phone (805) 642-1430

2772 Johnson Dr
Ste 100
Ventura, CA 93003
Phone (805) 642-1430

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

Interoperability endpoints

  • Direct secure messaging: colette.frena.1@21226.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21226/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1023137247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-0303",
            "fax_number": "805-642-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENA",
        "first_name": "COLETTE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN113806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.