Individual provider Active NPI

Joo-Hye Park Dilly, MD

  • Pediatrics Physician
  • Ventura, CA
National Provider Identifier
1295230563
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A165121 Issued in CA
Practice address
300 Hillmont Ave Ste 302
Ventura, CA 93003-1651
Phone
(805) 652-6255
NPI assigned
Mar 28, 2018
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A165121 CA Primary

Addresses

Primary practice location

300 Hillmont Ave Ste 302
Ventura, CA 93003-1651

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1700 N Rose Ave Ste 280
Oxnard, CA 93030-7645
Phone (805) 384-8071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joo-hye.dilly@ventura.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730003099 CA Practitioner - Pediatric Medicine 6800299686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165121CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Apr 22, 2025 Accepting new patients
County of Ventura CurrentSince Apr 22, 2025 Accepting new patients
County of Ventura CurrentSince Jun 29, 2025 Accepting new patients
County of Ventura CurrentSince Jun 29, 2025 Accepting new patients

Locations

1700 N Rose Ave
Ste 280
Oxnard, CA 93030
Phone (805) 485-7877

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

2901 N Ventura Rd
Ste 100
Oxnard, CA 93036
Phone (805) 981-6101

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

300 Hillmont Ave
Ste 302
Ventura, CA 93003
Phone (805) 641-4494

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: joo-hye.dilly@ventura.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1295230563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 302",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Rose Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307645",
            "country_code": "US",
            "telephone_number": "805-384-8071",
            "fax_number": "805-278-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLY",
        "first_name": "JOO-HYE",
        "middle_name": "PARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A165121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joo-hye.dilly@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave Ste 302",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.