Central Coast Cardiovascular ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL COAST CARDIOVASCULAR ASC LLC

Practice address

2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605

Phone

(805) 258-5420

Fax

(805) 628-9446

NPI assigned

Jun 8, 2017

Last updated

Oct 28, 2024By 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

Ms. Taren Cessna

Title

Administrator

Phone

(805) 620-3499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Central Coast Cardiovascular ASC LLC Dba West Coast Surgical CenterCCN 05C0002193

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Jonathan Walter Dukes, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Ventura, CA
  • NPI 1770790651
  NPD
• Sydney Shuo-Yi Guo, MD

  • Vascular Surgery Physician
  • Ventura, CA
  • NPI 1619922291
  NPD (past)
• Li Sheng Kong, M.D.

  • Vascular Surgery Physician
  • Ventura, CA
  • NPI 1891764775
  NPD (past)
• Christopher Shawn Skillern, MD

  • Vascular Surgery Physician
  • Ventura, CA
  • NPI 1205936697
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1306375837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032835",
            "telephone_number": "805-620-3499",
            "fax_number": "805-643-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OUTLET CENTER DR STE 225",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360605",
            "telephone_number": "805-258-5420",
            "fax_number": "805-628-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST CARDIOVASCULAR ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "CESSNA",
        "authorized_official_first_name": "TAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-620-3499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ceja
• Stephanie Lindsay Cekov
• Emily Centeno Almaguer
• Araceli Navarro Centeno, MPH
• Hugo Centeno
• Cep America - California (Vituity)
• Mario Cepeda, MFTI
• Derrick Ceraos
• Veronica Cerda
• Guadalupe Cervantes-Ortiz

• Ambulatory Surgical Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.