Pacific Central Coast Health Centers

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PACIFIC CENTRAL COAST HEALTH CENTERS

Doing business as

Dignity Health Women's Center - Ventura

Practice address

3418 Loma Vista Rd Ste B
Ventura, CA 93003-3065

Phone

(805) 739-3981

Fax

(805) 739-3982

NPI assigned

Oct 13, 2020

Organization subpart

Yes

Parent organization

PACIFIC CENTRAL COAST HEALTH CENTERSAs reported in NPPES

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

Authorized official

Name

Matthew Richardson

Title

Chief Financial Officer

Phone

(805) 739-3108

Specialties & licenses 1

Addresses

Other names 1

• Dignity Health Women's Center - Ventura Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Pacific Central Coast Health Centers

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Lynne Krupa, RDN

  • Registered Dietitian
  • Walla Walla, WA
  • NPI 1366214660
  NPD
• Sarah Marie Patronete, NP

  • Family Nurse Practitioner
  • Oxnard, CA
  • NPI 1306387055
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1356949291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BUNNY AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582805",
            "telephone_number": "805-739-3890",
            "fax_number": "805-347-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033065",
            "telephone_number": "805-739-3981",
            "fax_number": "805-739-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-739-3108"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Women's Center - Ventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nora Oy, RBT
• Andy Pacheco
• Pacific Behavioral Services LLC
• Pacific Cardiovascular and Vein Institute, Inc.
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Clinics
• Pacific Coast Center for Family Counseling & Personal Development, Inc
• Pacific Crest Hospice of Ventura County, LLC
• Pacific Inpatient Physicians

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.