Active NPI
Daniel Ezroj, M.D
- Pediatrics Physician
- Santa Paula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A144743
- Practice address
- 258 E Harvard Blvd
Santa Paula, CA 93060-3372 - Phone
- (805) 525-5518
- Fax
- (805) 525-9452
- NPI assigned
- May 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A144743 | CA | Primary |
Addresses
Primary practice location
258 E Harvard Blvd
Santa Paula, CA 93060-3372
Mailing address
5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801
Other practice location 1
290 N Wayte Ln
Fresno, CA 93701-2124
Phone (559) 459-5721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144743 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770
3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505
258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
Interoperability endpoints
- dezroj3509241@oc.providencedirect.org
- danielezroj@cfh.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1740228345
-
- Home Health Agency
- Syracuse, NE
- NPI 1578571329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225440217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 OLIVAS PARK DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037672",
"telephone_number": "805-667-2801",
"fax_number": "805-667-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 E HARVARD BLVD",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930603372",
"telephone_number": "805-525-5518",
"fax_number": "805-525-9452"
}
],
"practiceLocations": [
{
"address_1": "290 N Wayte Ln",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012124",
"country_code": "US",
"telephone_number": "559-459-5721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EZROJ",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A144743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.