NPIMap

Individual provider Active NPI

Rene Vitela

  • Marriage & Family Therapist
  • Oxnard, CA
National Provider Identifier
1346973823
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136638 Issued in CA
Practice address
2500 S C St Ste D
Oxnard, CA 93033-4574
Phone
(805) 385-9460
NPI assigned
Jul 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 136638 CA Primary

Addresses

Primary practice location

2500 S C St Ste D
Oxnard, CA 93033-4574

Mailing address

1162 Redwood St
Oxnard, CA 93033-5006
Phone (805) 512-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Sep 24, 2023 Accepting new patients
County of Ventura PastSince Apr 16, 2023 Accepting new patients

Locations

2500 S C St
Ste D
Oxnard, CA 93033
Phone (805) 385-9460

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8cf1bb66-7b18-4eaa-b641-538f19feb923/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1346973823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 REDWOOD ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930335006",
            "telephone_number": "805-512-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S C ST STE D",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334574",
            "telephone_number": "805-385-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITELA",
        "first_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136638",
            "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 Apr 11, 2023; 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.