Active NPI
West Coast Vascular
- Vascular Surgery Physician
- Ventura, CA
National Provider Identifier
1174928329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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 DirectoryPractitioners & 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.
-
- Vascular Surgery Physician
- Ventura, CA
- NPI 1205936697
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.