Active NPI
County of Ventura
Doing business as John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- H80CS00247-06-03
- Legal business name
- COUNTY OF VENTURA
- Doing business as
- John K. Flynn Community Clinic FQHC
- Practice address
- 3100 N Rose Ave
Oxnard, CA 93036-1807 - Phone
- (805) 983-6644
- Fax
- (805) 983-6144
- NPI assigned
- Mar 23, 2009
- Last updated
- Jul 19, 2024
- Organization subpart
- Yes
- Parent organization
- VENTURA COUNTY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Cho, MD
- Title
- Director
- Phone
- (805) 677-5290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | H80CS00247-06-03 | CA | Primary |
Addresses
Primary practice location
3100 N Rose Ave
Oxnard, CA 93036-1807
Mailing address
800 S Victoria Ave # L4615
Ventura, CA 93009-0003
Phone (805) 677-5210
Other names 1
- John K. Flynn Community Clinic FQHC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| 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 |
| O20090717000562 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 7911810171 | Practice locations: Oxnard, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043451982. Details of each certification follow.
Federally qualified health center certification: CCN 051182
- Legal name
- COUNTY OF VENTURA
- Doing business as
- JOHN K FLYNN COMMUNITY CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 3, 2009
- Last certification
- Aug 3, 2009
- Ownership / control type
- Non-profit – corporation
- Organization structure
- Other
- Incorporated
- in CA
- Enrollment address
- 3100 N Rose Ave
Oxnard, CA 93036-1807
Other NPIs with the same Medicare PAC ID 20
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
7911810171
-
dba Las Islas Mobile
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1154600336
7911810171
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
7911810171
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
7911810171
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
7911810171
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
7911810171
-
dba Public Health Services
- Public Health or Welfare Agency
- Oxnard, CA
- NPI 1528275351
7911810171
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
7911810171
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
7911810171
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
7911810171
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
7911810171
Other NPIs on the same Medicare enrollment 38
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba VCBH-South Oxnard Youth & Family Mental Health
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1003509852
O20031112000587
-
dba VCBH - Fillmore Substance Use Services
- Community/Behavioral Health Agency
- Fillmore, CA
- NPI 1013129782
O20031112000587
-
dba VCBH - Simi Valley Substance Use Services
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1013139658
O20031112000587
-
dba VCBH - South Oxnard Adult Mental Health
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1053714725
O20031112000587
-
dba VCBH- Critical Care & Navigation Services
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1104048743
O20031112000587
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
O20031112000587
-
dba VCBH - North Oxnard Adult Mental Health MD Satellite
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1184918716
O20031112000587
-
dba VCMC Adult CSU
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ventura, CA
- NPI 1205394525
O20031112000587
-
dba VCBH - Ventura Adult Mental Health
- Community/Behavioral Health Agency
- Ventura, CA
- NPI 1235259029
O20031112000587
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
O20031112000587
-
dba VCBH - Phoenix School
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1316350127
O20031112000587
-
dba VCBH - Fillmore Youth & Family Mental Health
- Community/Behavioral Health Agency
- Fillmore, CA
- NPI 1356560718
O20031112000587
National Provider Directory
National Provider Directory- Part of
- County of Ventura Area Agency on Aging
Locations
3100 N Rose Ave
Oxnard, CA 93036
Phone (805) 485-3119
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Barry Zimmerman | Corporate Director | Jun 2, 2021 | |
| Elizabeth Schmeeckle | W-2 Managing Employee | Aug 1, 2023 | |
| Operational/Managerial Control | Aug 1, 2023 | ||
| County of Ventura | 5% Or Greater Direct Ownership Interest | Jan 24, 2013 | 100% |
| Operational/Managerial Control | Aug 18, 2010 | 100% |
Owners & managing parties with NPI records 20
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- State or Local Public Health Clinic/Center
- Oxnard, CA
- NPI 1134658644
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Mobile
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1154600336
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Public Health Services
- Public Health or Welfare Agency
- Oxnard, CA
- NPI 1528275351
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 17
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ventura County Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Aug 18, 2010 |
| Magnolia Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Conejo Valley Family Medical Group FQHC | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 29, 1994 |
| Las Islas Family Medical Group North | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Fillmore Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Las Posas Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2014 Jan 1, 2013 |
| Sierra Vista Family Medical Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Santa Paula Hospital Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Pediatric Diagnostic Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Santa Paula West | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Mar 8, 2013 |
| Moorpark Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2008 |
| Mandalay Bay Womens & Childrens | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Santa Paula Medical Clinic | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2013 |
| West Ventura Medical Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Las Islas Family Medical Group II | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Ventura County Healthcare for the Homeless Program | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 24, 2013 |
| Magnolia West | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2013 |
Owned or controlled facilities with NPI records 17
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
5% Or Greater Direct Ownership Interest
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
5% Or Greater Direct Ownership Interest
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Magnolia West
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1669738159
5% Or Greater Direct Ownership Interest
-
dba West Ventura Medical Clinic
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1780821660
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Santa Paula West FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1841431707
5% Or Greater Direct Ownership Interest
Facilities with the same owner 17
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
County of Ventura
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
County of Ventura
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
County of Ventura
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
County of Ventura
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
County of Ventura
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
County of Ventura
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
County of Ventura
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
County of Ventura
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
County of Ventura
-
dba Magnolia West
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1669738159
County of Ventura
-
dba West Ventura Medical Clinic
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1780821660
County of Ventura
-
dba Santa Paula West FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1841431707
County of Ventura
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1043451982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S VICTORIA AVE # L4615",
"city": "VENTURA",
"state": "CA",
"postal_code": "930090003",
"telephone_number": "805-677-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930361807",
"telephone_number": "805-983-6644",
"fax_number": "805-983-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VENTURA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VENTURA COUNTY MEDICAL CENTER",
"enumeration_date": "2009-03-23",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-677-5290",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "H80CS00247-06-03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "John K. Flynn Community Clinic FQHC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "John K. Flynn Community Clinic FQHC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oxnard, CA
- Shayne Cotner
- Cottage Clinical Network, LLC (Cottage Urgent Care)
- Kelly Coultrup, PT, DPT
- Counseling Services for Families and Children
- County of Ventura (VCBH-South Oxnard Youth & Family Mental Health)
- County of Ventura (VCBH - South Oxnard Adult Mental Health)
- County of Ventura (VCBH- Critical Care & Navigation Services)
- County of Ventura
- County of Ventura (Las Islas Mobile)
- County of Ventura (Diabetes Prevention Program)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.