NPIMap

Organization Active NPI

Pdap of Ventura County, Inc.

  • Community/Behavioral Health Agency
  • Camarillo, CA
National Provider Identifier
1346360930
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
560015BN Issued in CA
Legal business name
PDAP OF VENTURA COUNTY, INC.
Practice address
450 Rosewood Ave
Suite 215
Camarillo, CA 93010-5914
Phone
(805) 482-1265
Fax
(805) 389-5295
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Ms. Virginia Mary Connell, MFC
Title
Executive Director
Phone
(805) 482-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 560015BN CA Primary

Addresses

Primary practice location

450 Rosewood Ave
Suite 215
Camarillo, CA 93010-5914

Mailing address

450 Rosewood Ave
Suite 215
Camarillo, CA 93010-5914
Phone (805) 482-1265

Other identifiers 1

IdentifierTypeStateIssuer
5673MedicaidCA

Other names 1

  • Palmer Drug Abuse Program of Ventura County Other name

National Provider Directory

National Provider Directory
Tax ID family
Pdap of Ventura County11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Rosewood Ave
Ste 215
Camarillo, CA 93010

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1346360930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 215",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "address_2": "SUITE 215",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDAP OF VENTURA COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-482-1265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "560015BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Drug Abuse Program of Ventura County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.