Organization Active NPI

William a Speitel

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1083771349
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34840 Issued in CA
Legal business name
WILLIAM A SPEITEL
Practice address
124 N Brent St
Ventura, CA 93003-2810
Phone
(805) 641-9880
Fax
(805) 641-9890
NPI assigned
Jan 3, 2007
Reactivated
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Pam Speitel
Title
Office Manager
Phone
(805) 641-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34840 CA Primary

Addresses

Primary practice location

124 N Brent St
Ventura, CA 93003-2810

Mailing address

124 N Brent St
Ventura, CA 93003-2810
Phone (805) 641-9880

Other identifiers 3

IdentifierTypeStateIssuer
080010170OtherCAMEDICARE RAILROAD
1710971346OtherCANPI
1962420752OtherCANPI

National Provider Directory

National Provider Directory

Locations

124 N Brent St
Ventura, CA 93003
Phone (805) 641-9880

100 N Brent St
Ste 202
Ventura, CA 93003
Phone (805) 641-9880

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1083771349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032810",
            "telephone_number": "805-641-9880",
            "fax_number": "805-641-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032810",
            "telephone_number": "805-641-9880",
            "fax_number": "805-641-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A SPEITEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-05-03",
        "deactivation_date": "2009-10-27",
        "reactivation_date": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SPEITEL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-641-9880"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080010170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710971346",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962420752",
            "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 May 3, 2011; 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.