Ventura County Medical Managed Care Commision

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VENTURA COUNTY MEDICAL MANAGED CARE COMMISION

Doing business as

Gold Coast Health Plan

Practice address

2220 E. Gonzales Road
Suite 200
Oxnard, CA 93036

Phone

(805) 981-5320

Fax

(805) 981-5314

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Cassie Undlin

Title

Interim Ceo

Phone

(805) 981-5320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gold Coast Health Plan Doing business as

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1104184407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E. GONZALES ROAD",
            "address_2": "SUITE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-981-5320",
            "fax_number": "805-981-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E. GONZALES ROAD",
            "address_2": "SUITE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-981-5320",
            "fax_number": "805-981-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY MEDICAL MANAGED CARE COMMISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "UNDLIN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "805-981-5320"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY ORGANIZED HEALTHCARE SYSTEM",
            "identifier": "302R00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Health Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ventura County Behavioral Health
• Ventura County Community College District (Oxnard College)
• Ventura County Gastroenterology Medical GRP Inc
• Ventura County Health Care Agecy
• Ventura County Health Care Agency
• Ventura County Podiatric Medical Group Inc (Coastal Foot and Ankle)
• Ventura County Public Health
• Ventura County Public Health
• Ventura County Public Health Department
• Ventura County Radiation Oncology Medical Group, Inc.

• Health Maintenance Organization in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.