Active NPI
Dawn Michelle Pavon, RN
- Ambulatory Care Registered Nurse
- Ventura, CA
National Provider Identifier
1104789072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 758184
- Practice address
- 5250 Ralston St
Ventura, CA 93003-7318 - Phone
- (805) 339-6400
- NPI assigned
- Dec 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 758184 | CA | Primary |
Addresses
Primary practice location
5250 Ralston St
Ventura, CA 93003-7318
Mailing address
486 Delwood CT
Newbury Park, CA 91320-4819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 758184 | CA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764979200000",
"number": "1104789072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 DELWOOD CT",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913204819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 RALSTON ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037318",
"telephone_number": "805-339-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVON",
"first_name": "DAWN",
"middle_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-06",
"last_updated": "2025-12-06",
"certification_date": "2025-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "758184",
"primary": true
}
],
"identifiers": [],
"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 Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.