Organization Active NPI

West Coast Vascular

  • Vascular Surgery Physician
  • Ventura, CA
National Provider Identifier
1174928329
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WEST COAST VASCULAR
Practice address
100 N Brent St
Suite 201
Ventura, CA 93003-2822
Phone
(805) 643-3330
Fax
(805) 643-3331
NPI assigned
Oct 30, 2014
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Dr. Christopher Shawn Skillern, M.D.NPI 1205936697
Title
Partner
Phone
(805) 643-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X CA 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1174928329",
    "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",
            "fax_number": "805-643-3331"
        },
        {
            "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",
            "fax_number": "805-643-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST VASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "SKILLERN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-643-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "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 20, 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.