Active NPI
Eugenia S H Pang, OTRL
- Occupational Therapist
- Ventura, CA
National Provider Identifier
1043404130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2024
- Practice address
- 3291 Loma Vista Rd
Ventura County Medical Center
Ventura, CA 93003 - Phone
- (805) 648-9980
- Fax
- (805) 648-9870
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2024 | CA | Primary |
| Occupational Therapist | 225X00000X | 0523 | AZ | |
| Occupational Therapist | 225X00000X | 0393 | HI |
Addresses
Primary practice location
3291 Loma Vista Rd
Ventura County Medical Center
Ventura, CA 93003
Mailing address
PO Box 444
Ojai, CA 93024
Phone (805) 646-7781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0523 | AZ | MD | Podiatrist |
| 0393 | HI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1043404130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "OJAI",
"state": "CA",
"postal_code": "93024",
"telephone_number": "805-646-7781",
"fax_number": "805-646-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 LOMA VISTA RD",
"address_2": "VENTURA COUNTY MEDICAL CENTER",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-648-9980",
"fax_number": "805-648-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "EUGENIA",
"middle_name": "S H",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "2024",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "0523",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "0393",
"primary": false
}
],
"identifiers": [],
"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 Aug 31, 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.