Organization Active NPI

California Cardiac Surgeons - a Medical Group

  • Vascular Surgery Physician
  • Ventura, CA
National Provider Identifier
1033219423
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP
Practice address
145 N Brent St
Suite 102
Ventura, CA 93003-2816
Phone
(805) 643-2375
Fax
(805) 643-3511
NPI assigned
Sep 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Scott J. Fitzgerald
Title
Administrator
Phone
(661) 327-8538

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

145 N Brent St
Suite 102
Ventura, CA 93003-2816

Mailing address

3838 San Dimas St
Suite a-100
Bakersfield, CA 93301-2284
Phone (661) 327-8538

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ42099ZOtherBLUE SHIELD NUMBER
GR0060121MedicaidCA

National Provider Directory

National Provider Directory

Locations

145 N Brent St
Ste 102
Ventura, CA 93003
Phone (805) 643-2375

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033219423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE A-100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-327-8538",
            "fax_number": "661-327-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N BRENT ST",
            "address_2": "SUITE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032816",
            "telephone_number": "805-643-2375",
            "fax_number": "805-643-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-327-8538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "ZZZ42099Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.