Organization Active NPI

Ventura ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Ventura, CA
National Provider Identifier
1144694720
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VENTURA ASC LLC
Practice address
100 N Brent St
Suite 201
Ventura, CA 93003-2822
Phone
(805) 643-3330
NPI assigned
Nov 19, 2015
Organization subpart
Yes
Parent organization
WEST COAST VASCULARAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Christopher Shawn Skillern, MD
Title
Owner
Phone
(805) 643-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

100 N Brent St
Suite 201
Ventura, CA 93003-2822

Mailing address

100 N Brent St
Suite 201
Ventura, CA 93003-2822
Phone (805) 643-3330

National Provider Directory

National Provider Directory
Part of
West Coast Vascular

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1144694720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST",
            "address_2": "SUITE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032822",
            "telephone_number": "805-643-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST",
            "address_2": "SUITE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032822",
            "telephone_number": "805-643-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ASC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST COAST VASCULAR",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "SKILLERN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-643-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Nov 19, 2015; 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.