Organization Active NPI

John Padour MD a Medical Corp

  • Internal Medicine Physician
  • Ventura, CA
National Provider Identifier
1053829465
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A364934 Issued in CA
Legal business name
JOHN PADOUR MD A MEDICAL CORP
Practice address
148 N Brent St.
Suite 201
Ventura, CA 93003-9300
Phone
(805) 641-1800
Fax
(805) 653-7468
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Ms. Ashley L Replogle, CMA
Title
Nurse
Phone
(805) 641-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A364934 CA Primary

Addresses

Primary practice location

148 N Brent St.
Suite 201
Ventura, CA 93003-9300

Mailing address

148 N Brent St Ste 201
Ventura, CA 93003-2818
Phone (805) 641-1800

Other identifiers 1

IdentifierTypeStateIssuer
A36934MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1053829465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032818",
            "telephone_number": "805-641-1800",
            "fax_number": "805-653-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N BRENT ST.",
            "address_2": "SUITE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039300",
            "telephone_number": "805-641-1800",
            "fax_number": "805-653-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PADOUR MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "REPLOGLE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "805-641-1800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A364934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A36934",
            "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 Jan 29, 2018; 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.