NPIMap

Individual provider Active NPI

Srisawai Pattamakom, M.D.

  • Obstetrics & Gynecology Physician
  • Ventura, CA
National Provider Identifier
1114031648
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G080945 Issued in CA
Practice address
2945 Loma Vista Rd
Ventura, CA 93003-2915
Phone
(805) 677-8003
Fax
(805) 677-8404
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G080945 CA Primary

Addresses

Primary practice location

2945 Loma Vista Rd
Ventura, CA 93003-2915

Mailing address

2945 Loma Vista Rd
Ventura, CA 93003-2915
Phone (805) 677-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000447 CA Practitioner - Obstetrics/Gynecology 9436150752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

2705 Loma Vista Rd
Suite 206
Ventura, CA 93003-1584
Phone (805) 643-4067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80945CAMDPharmacist
G080945CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2015 Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2015 Accepting new patients
County of Ventura Past Accepting new patients
Ideal Women's Health Specialists Obstetrics & Gynecology Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

2945 Loma Vista Rd
Ventura, CA 93003
Phone (805) 648-6851

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

168 N Brent St
Ste 407
Ventura, CA 93003
Phone (805) 648-2717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: srisawaipattamakom@cfh.allscriptsdirect.net
  • Direct secure messaging: spattamakom3518346@oc.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1114031648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032915",
            "telephone_number": "805-677-8003",
            "fax_number": "805-677-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032915",
            "telephone_number": "805-677-8003",
            "fax_number": "805-677-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTAMAKOM",
        "first_name": "SRISAWAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G080945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.