Active NPI
Elizabeth Gail Hoffman, NP
- Nurse Practitioner
- Ventura, CA
National Provider Identifier
1235228412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 370244
- Practice address
- 120 N Ashwood Ave
Ventura, CA 93003-1810 - Phone
- (805) 658-5800
- Fax
- (805) 642-1928
- NPI assigned
- Oct 12, 2006
- Last updated
- Dec 26, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 370244 | CA | Primary |
Addresses
Primary practice location
120 N Ashwood Ave
Ventura, CA 93003-1810
Mailing address
5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-1683892 | Other | CA | OTHER INSURANCE |
| ZZT40394F | Medicaid | CA | |
| RHM08608F | Medicaid | CA | |
| RHM08609F | Medicaid | CA | |
| RHM18553H | Medicaid | CA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006 | CA | MD | Nutritionist |
| 370244 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1235228412",
"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": "120 N ASHWOOD AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031810",
"telephone_number": "805-658-5800",
"fax_number": "805-642-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ELIZABETH",
"middle_name": "GAIL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "370244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCE",
"identifier": "95-1683892",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40394F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08608F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08609F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM18553H",
"state": "CA"
}
],
"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 Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.