Organization Active NPI

CSS Enterprises, Inc.

  • Vascular Surgery Physician
  • Ventura, CA
National Provider Identifier
1114561305
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CSS ENTERPRISES, INC.
Practice address
3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161
Phone
(805) 444-4491
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Christopher Shawn Skillern, MD
Title
Owner / President
Phone
(805) 444-4491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161

Mailing address

3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161
Phone (805) 444-4491

Other practice location 1

100 N Brent St Ste 201
Ventura, CA 93003-2835
Phone (805) 444-4491

Other practice location 2

2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605
Phone (805) 444-4491

National Provider Directory

National Provider Directory

Locations

2000 Outlet Center Dr
Ste 225
Oxnard, CA 93036
Phone (805) 444-4491

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1114561305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-444-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-444-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Brent St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032835",
            "country_code": "US",
            "telephone_number": "805-444-4491",
            "fax_number": "805-641-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Outlet Center Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360605",
            "country_code": "US",
            "telephone_number": "805-444-4491",
            "fax_number": "805-641-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CSS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SKILLERN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "805-444-4491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "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 Feb 11, 2020; 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.