Organization Active NPI

Ventura Pain and Spine Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Ventura, CA
National Provider Identifier
1295170090
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A110907 Issued in CA
Legal business name
VENTURA PAIN AND SPINE PHYSICIANS
Practice address
1730 S Victoria Ave Ste 220
Ventura, CA 93003-6179
Phone
(619) 933-5775
Fax
(805) 650-5656
NPI assigned
May 7, 2013
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Leo Lombardo, MDNPI 1497087753
Title
President
Phone
(619) 933-5775

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
Pain Medicine (Anesthesiology) Physician 207LP2900X A110907 CA Primary

Addresses

Primary practice location

1730 S Victoria Ave Ste 220
Ventura, CA 93003-6179

Mailing address

1730 S Victoria Ave Ste 220
Ventura, CA 93003-6179
Phone (805) 650-5650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150415000163 CA Part B Supplier - Clinic/Group Practice 1254570468 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2064999Ventura Pain and Spine Physicians1730 S Victoria Ave Ste 220, Ventura, CA 93003Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Locations

1730 S Victoria Ave
#220
Ventura, CA 93003

1730 S Victoria Ave
Ste 220
Ventura, CA 93003
Phone (619) 933-5775

1752 S Victoria Ave
Ste A
Ventura, CA 93003
Phone (805) 236-2734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1295170090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S VICTORIA AVE STE 220",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036179",
            "telephone_number": "805-650-5650",
            "fax_number": "805-650-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S VICTORIA AVE STE 220",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036179",
            "telephone_number": "619-933-5775",
            "fax_number": "805-650-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA PAIN AND SPINE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-933-5775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A110907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.