County of Ventura

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

H80CS00247 Issued in CA

Legal business name

COUNTY OF VENTURA

Doing business as

Las Islas Mobile

Practice address

2400 S C St
Oxnard, CA 93033

Phone

(805) 240-7000

Fax

(805) 486-0396

NPI assigned

Aug 5, 2011

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

VENTURA COUNTY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Theresa Cho, MD

Title

Director

Phone

(805) 677-5290

Specialties & licenses 1

Addresses

Other names 1

• Las Islas Mobile Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154600336. Details of each certification follow.

• CCN 551131 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 551131

Legal name

COUNTY OF VENTURA

Doing business as

LAS ISLAS MOBILE MEDICAL CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 2, 2012

Last certification

Apr 2, 2012

Ownership / control type

For profit – corporation

Organization structure

GovernmentProprietary

Enrollment address

2400 S C St
Oxnard, CA 93033-4555

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Ventura

  dba John K. Flynn Community Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1043451982

  7911810171

  Same PAC ID
• County of Ventura

  dba Fillmore Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Fillmore, CA
  • NPI 1134360076

  7911810171

  Same PAC ID
• County of Ventura

  • State or Local Public Health Clinic/Center
  • Oxnard, CA
  • NPI 1134658644

  7911810171

  Same PAC ID
• County of Ventura

  dba Moorpark Family Medical Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Moorpark, CA
  • NPI 1174764021

  7911810171

  Same PAC ID
• County of Ventura

  dba Conejo Valley Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253

  7911810171

  Same PAC ID
• County of Ventura

  dba Sierra Vista Family Medical Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Simi Valley, CA
  • NPI 1386886117

  7911810171

  Same PAC ID
• County of Ventura

  dba Las Islas Family Medical Group

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1508187329

  7911810171

  Same PAC ID
• County of Ventura

  dba Public Health Services

  • Public Health or Welfare Agency
  • Oxnard, CA
  • NPI 1528275351

  7911810171

  Same PAC ID
• County of Ventura

  dba Mandalay Bay Women & Childrens FQHC

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1538300488

  7911810171

  Same PAC ID
• County of Ventura

  dba Santa Paula Hospital Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Santa Paula, CA
  • NPI 1548401409

  7911810171

  Same PAC ID
• County of Ventura

  dba Pediatric Diagnostic Center FQHC

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1619118569

  7911810171

  Same PAC ID
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457

  7911810171

  Same PAC ID

Tax ID family

Penfield Mtu85 organizations share this tax ID, including this one

Part of

Penfield Mtu

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Boswell Mtu

  • Rehabilitation Clinic/Center
  • Ventura, CA
  • NPI 1316059553
  NPD tax ID
• County of Ventura

  dba VCBH - Fillmore Substance Use Services

  • Community/Behavioral Health Agency
  • Fillmore, CA
  • NPI 1013129782
  NPD tax ID
• County of Ventura

  dba VCBH - Simi Valley Substance Use Services

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1013139658
  NPD tax ID
• County of Ventura

  dba Ventura County Area Agency on Aging

  • Case Manager/Care Coordinator
  • Ventura, CA
  • NPI 1013771708
  NPD tax ID
• County of Ventura

  dba VCMC Inpatient Services

  • Psychiatric Hospital
  • Ventura, CA
  • NPI 1053430108
  NPD tax ID
• County of Ventura

  dba VCBH - South Oxnard Adult Mental Health

  • Community/Behavioral Health Agency
  • Oxnard, CA
  • NPI 1053714725
  NPD tax ID
• County of Ventura

  dba VCBH- Critical Care & Navigation Services

  • Community/Behavioral Health Agency
  • Oxnard, CA
  • NPI 1104048743
  NPD tax ID
• County of Ventura

  dba Fillmore Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Fillmore, CA
  • NPI 1134360076
  NPD tax ID
• County of Ventura

  • State or Local Public Health Clinic/Center
  • Oxnard, CA
  • NPI 1134658644
  NPD tax ID
• County of Ventura

  dba VCBH - North Oxnard Adult Mental Health MD Satellite

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1184918716
  NPD tax ID
• County of Ventura

  dba Ventura County Sheriff's Office

  • Prison Health Clinic/Center
  • Ventura, CA
  • NPI 1194678102
  NPD tax ID
• County of Ventura

  dba VCMC Adult CSU

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ventura, CA
  • NPI 1205394525
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Theresa Cho, M.D.

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1841353893

  Corporate Director, W-2 Managing Employee

  CMS ownership
• John Fankhauser, M.D.

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1942363882

  Corporate Officer, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• County of Ventura

  dba John K. Flynn Community Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1043451982

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Fillmore Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Fillmore, CA
  • NPI 1134360076

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Moorpark Family Medical Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Moorpark, CA
  • NPI 1174764021

  5% Or Greater Direct Ownership Interest

  CMS ownership
• County of Ventura

  dba Conejo Valley Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253

  5% Or Greater Direct Ownership Interest

  CMS ownership
• County of Ventura

  dba Sierra Vista Family Medical Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Simi Valley, CA
  • NPI 1386886117

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Las Islas Family Medical Group

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1508187329

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Mandalay Bay Women & Childrens FQHC

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1538300488

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Santa Paula Hospital Clinic FQHC

  • Federally Qualified Health Center (FQHC)
  • Santa Paula, CA
  • NPI 1548401409

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Pediatric Diagnostic Center FQHC

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1619118569

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• County of Ventura

  dba Magnolia West

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1669738159

  5% Or Greater Direct Ownership Interest

  CMS ownership
• County of Ventura

  dba West Ventura Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1780821660

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1154600336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # L4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930090001",
            "telephone_number": "805-677-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S C ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93033",
            "telephone_number": "805-240-7000",
            "fax_number": "805-486-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF VENTURA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTURA COUNTY MEDICAL CENTER",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-677-5290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "H80CS00247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Islas Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Islas Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Ventura (VCBH-South Oxnard Youth & Family Mental Health)
• County of Ventura (John K. Flynn Community Clinic FQHC)
• County of Ventura (VCBH - South Oxnard Adult Mental Health)
• County of Ventura (VCBH- Critical Care & Navigation Services)
• County of Ventura
• County of Ventura (Diabetes Prevention Program)
• County of Ventura
• County of Ventura (VCBH - Oxnard Substance Use Services)
• County of Ventura (Las Islas Family Medical Group)
• County of Ventura (Ventura County Behavioral Health)

• Federally Qualified Health Center (FQHC) in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.