Ventura Spine and Sport Medical Center Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC27583 Issued in CA

Legal business name

VENTURA SPINE AND SPORT MEDICAL CENTER INC.

Practice address

4601 Telephone Rd.
Suite 110
Ventura, CA 93003

Phone

(805) 642-4061

Fax

(805) 642-7295

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Dora L Chavez

Title

Office Manager

Phone

(805) 312-9082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356864078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035671",
            "telephone_number": "805-642-4061",
            "fax_number": "805-642-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD.",
            "address_2": "SUITE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-642-4061",
            "fax_number": "805-642-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA SPINE AND SPORT MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-312-9082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC27583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ventura Post Acute LLC
• Ventura Post Acute LLC
• Ventura Prosthetic & Orthotics, Inc.
• Ventura Pulmonary and Critical Care Medical Group
• Ulises Ventura Rivera
• Ventura Surgery Center Inc
• Ventura Unified School District
• Ventura Urgent Care Center Medical Corp
• Veronica Esther Ventura
• Verio Healthcare, Inc.

• Health Service Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.