NPIMap

Organization Active NPI

Ventura Orthopedics Medical Group, Inc.

  • Specialist
  • Thousand Oaks, CA
National Provider Identifier
1104389931
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
Practice address
137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone
(805) 379-4574
Fax
(805) 379-4324
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Minerva Butler, CEO, CFO
Title
Chief Executive Officer and Cfo
Phone
(805) 941-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Other names 1

  • Ventura Orthopedics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040615001871 CA Part B Supplier - Clinic/Group Practice 2062312911 Receives reassigned benefits from 85 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westlake Village, CA; Ventura, CA; Thousand Oaks, CA; Simi Valley, CA; Oxnard, CA; Camarillo, CA
O20190722000534 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2062312911 Practice locations: Thousand Oaks, CA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ventura Orthopedics Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1104389931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605707",
            "telephone_number": "805-379-4574",
            "fax_number": "805-379-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ORTHOPEDICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER AND CFO",
        "authorized_official_telephone_number": "805-941-0056",
        "authorized_official_credential": "CEO, CFO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "137 E Thousand Oaks Blvd",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ventura Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.