Individual provider Active NPI

Christopher A Fontayne

  • Addiction Medicine (Anesthesiology) Physician
  • Ventura, CA
National Provider Identifier
1215730056
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
56-08 Issued in CA
Practice address
955 E Thompson Blvd
Ventura, CA 93001-3008
Phone
(805) 641-9100
NPI assigned
Mar 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X 56-08 CA Primary

Addresses

Primary practice location

955 E Thompson Blvd
Ventura, CA 93001-3008

Mailing address

2640 Wagon Wheel Rd Apt 258
Oxnard, CA 93036-2137
Phone (240) 886-4537

Other names 1

  • Christopher A Fontayne Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56-08CAMDAddiction Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1215730056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WAGON WHEEL RD APT 258",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362137",
            "telephone_number": "240-886-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E THOMPSON BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013008",
            "telephone_number": "805-641-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAYNE",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "56-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "FONTAYNE",
            "middle_name": "A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 28, 2025; 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.