Organization Active NPI

Ventura County Podiatric Medical Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1215591920
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
VENTURA COUNTY PODIATRIC MEDICAL GROUP INC
Practice address
451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729
Phone
(805) 983-0222
Fax
(805) 604-9872
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Scot Roberg, DPMNPI 1730264268
Title
Authorized Official
Phone
(805) 485-6708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729

Mailing address

451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729
Phone (805) 485-6708

Other identifiers 1

IdentifierTypeStateIssuer
E3640OtherCACA STATE LICENSE

Other names 2

  • Coastal Foot and Ankle Doing business as
  • Coastal Foot and Ankle Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521001376 CA Part B Supplier - Clinic/Group Practice 2769819242 Receives reassigned benefits from 5 practitioners
Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory

Locations

451 W Gonzales Rd
Ste 260
Oxnard, CA 93036
Phone (805) 485-3151

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1215591920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-485-6708",
            "fax_number": "805-278-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-983-0222",
            "fax_number": "805-604-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY PODIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBERG",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "805-485-6708",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "E3640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Foot and Ankle Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.