Buenaventura Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BUENAVENTURA MEDICAL GROUP

Practice address

888 S Hill Rd
Ventura, CA 93003-8400

Phone

(805) 477-6464

Fax

(805) 477-6498

NPI assigned

Jul 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James G Malone

Title

Ceo

Phone

(805) 477-6220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ventura Medical Management Other name

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265462246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032619",
            "telephone_number": "805-477-6464",
            "fax_number": "805-477-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S HILL RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038400",
            "telephone_number": "805-477-6464",
            "fax_number": "805-477-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENAVENTURA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-477-6220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Medical Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernando Bucsit
• Sierra Bucy
• Karl Edward Buechsenschuetz, DO
• Buena Physical Therapy Services Inc
• Buena Vista Palliative Care & Home Health, Inc.
• Mariana Bueso-Zazueta
• Michelle Ann Buettgen
• Kristen Michelle Bufe
• Rebecca Buhl
• Dang T Bui, MD

• Multi-Specialty Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.