Organization Active NPI

Lifelink Pediatric Therapy

  • Behavior Analyst
  • Oxnard, CA
National Provider Identifier
1306784814
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIFELINK PEDIATRIC THERAPY
Practice address
1777 Statham Blvd
Oxnard, CA 93033-3908
Phone
(805) 830-2177
NPI assigned
Mar 24, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFELINK ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Aruni GanewatteNPI 1780218966
Title
Ceo
Phone
(818) 644-9665

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1777 Statham Blvd
Oxnard, CA 93033-3908

Mailing address

1981 S Victoria Ave
Ventura, CA 93003-6616

National Provider Directory

National Provider Directory
Part of
Lifelink Pediatric Therapy

Locations

1777 Statham Blvd
Oxnard, CA 93033
Phone (805) 830-2177

1981 S Victoria Ave
Ventura, CA 93003

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": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1306784814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 S VICTORIA AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 STATHAM BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333908",
            "telephone_number": "805-830-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK PEDIATRIC THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELINK ENTERPRISES LLC",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GANEWATTE",
        "authorized_official_first_name": "ARUNI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-644-9665"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.