Elizabeth Kine McIntyre, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

56777 Issued in CA

Practice address

133 W Santa Clara St
Ventura, CA 93001-2543

Phone

(805) 641-5600

Fax

(805) 641-5677

NPI assigned

May 3, 2019

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment NPD
• Los Robles Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1417983552
  Medicare reassignment
• County of Ventura

  dba Conejo Valley Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253
  NPD
• County of Ventura

  dba VCBH - Simi Valley Youth & Family Mental Health

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD
• County of Ventura

  • Public Health & General Preventive Medicine Physician
  • Oxnard, CA
  • NPI 1801325303
  NPD
• Central California Faculty Medical Group, Inc.

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1992742852
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1144885328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012543",
            "telephone_number": "805-641-5600",
            "fax_number": "805-641-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Janss Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601847",
            "country_code": "US",
            "telephone_number": "805-370-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Maricopa Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Ojai",
            "state": "CA",
            "postal_code": "930233120",
            "country_code": "US",
            "telephone_number": "805-640-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 Loma Vista Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033165",
            "country_code": "US",
            "telephone_number": "805-641-6415",
            "fax_number": "805-641-6424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Thousand Oaks Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913604460",
            "country_code": "US",
            "telephone_number": "805-418-9100",
            "fax_number": "805-370-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ELIZABETH",
        "middle_name": "KINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56777",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "56777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5677",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.mcintyre@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "125 W Thousand Oaks Blvd Ste 300",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913604460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McGuire and Associates Foot and Ankle Care, Inc. (Pacific Foot and Ankle Care)
• Heather Renee McGuire, D.P.M.
• Quinn McGuire, AMFT
• Connor Patrick McIntee, D.O.
• Karen Beth McIntyre-Burke, M.A.
• Erin Melissa McIntyre, RDN
• Philip Osborne McKay, PA-C
• Therese A McKenna, RN
• Kelsey Brooke McKenzie, PSYD
• Marsha Jeanne McKeon, PH.D.

• Surgical Physician Assistant in Ventura, CA
• Providers in Ventura, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.