NPIMap

Organization Active NPI

California Cardiovascular and Thoracic Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ventura, CA
National Provider Identifier
1295800308
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS
Practice address
168 N Brent St
Suite 508
Ventura, CA 93003-2817
Phone
(805) 643-2375
Fax
(805) 643-3511
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Lamar J. Bushnell, M.D.NPI 1760582159
Title
Partner
Phone
(805) 643-2375

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

168 N Brent St
Suite 508
Ventura, CA 93003-2817

Mailing address

168 N Brent St
Suite 508
Ventura, CA 93003-2817
Phone (805) 643-2375

Other names 1

  • California Cardiac Surgeons - A Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070507000635 CA Part B Supplier - Clinic/Group Practice 8729184841 Receives reassigned benefits from 10 practitioners
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

168 N Brent St
Ste 508
Ventura, CA 93003
Phone (805) 218-0122

145 N Brent St
Ste 102
Ventura, CA 93003
Phone (805) 643-2375

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1295800308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 508",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2375",
            "fax_number": "805-643-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 508",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2375",
            "fax_number": "805-643-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "BUSHNELL",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-643-2375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Cardiac Surgeons - A Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.