Organization Active NPI

Ventura County Gastroenterology Medical GRP Inc

  • Gastroenterology Physician
  • Oxnard, CA
National Provider Identifier
1174554620
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
VENTURA COUNTY GASTROENTEROLOGY MEDICAL GRP INC
Practice address
2241 Wankel Way
Ste a
Oxnard, CA 93030-0191
Phone
(805) 983-0521
Fax
(805) 983-4186
NPI assigned
Jul 5, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mrs. Marianne Rotenberg
Title
Manager
Phone
(805) 983-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2241 Wankel Way
Ste a
Oxnard, CA 93030-0191

Mailing address

PO Box 50640
Oxnard, CA 93031-0640
Phone (805) 983-0521

National Provider Directory

National Provider Directory

Locations

2486 N Ponderosa Dr
Ste 206D
Camarillo, CA 93010

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1174554620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50640",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930310640",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY",
            "address_2": "STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY GASTROENTEROLOGY MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTENBERG",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-983-0521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.