Pleasant Valley Pediatric Medical Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PLEASANT VALLEY PEDIATRIC MEDICAL GROUP

Doing business as

Pediatrician

Practice address

2486 N Ponderosa Dr Ste D211
Camarillo, CA 93010-2470

Phone

(805) 484-2818

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Robert Vasko, MDNPI 1467995498

Title

Pediatrician

Phone

(805) 368-0836

Specialties & licenses 1

Addresses

Other names 1

• Pediatrician Doing business as

Electronic endpoints 1

Practitioners 1

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

• Robert Charles Vasko, M.D.

  • Pediatrics Physician
  • Calabasas, CA
  • NPI 1467995498
  NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1114570082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR STE D211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102470",
            "telephone_number": "805-484-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR STE D211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102470",
            "telephone_number": "805-484-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY PEDIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "VASKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "805-368-0836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "2486 N Ponderosa Dr Ste D211",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930102470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatrician",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Pizano
• Matthew H Pizza, DMD
• Shamala Leanne Pizza, D.M.D.
• Theresa Ann Plante, ED.D.
• Georgina Plascencia
• Pleasant Valley Pediatric Medical Group
• Pleasant Valley School District
• Lynn S Pluche, DO
• Laura Poladian
• Nadia Juniper Polanco, LVN

• Pediatrics Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.