NPIMap

Organization Active NPI

Cardiology Associates Medical Group

  • Medical Specialty Clinic/Center
  • Ventura, CA
National Provider Identifier
1376641449
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CARDIOLOGY ASSOCIATES MEDICAL GROUP
Practice address
100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone
(805) 653-0101
Fax
(805) 641-0434
NPI assigned
Sep 20, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mr. Phil Janke, MBA
Title
Chief Operating Officer
Phone
(805) 275-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

100 N Brent St Ste 301
Ventura, CA 93003-2836

Mailing address

100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone (805) 653-0101

Other practice location 1

1701 Solar Dr Ste 150
Oxnard, CA 93030-0138
Phone (805) 278-4020

Other identifiers 1

IdentifierTypeStateIssuer
GR0001490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217001137 CA Part B Supplier - Clinic/Group Practice 6507763471 Receives reassigned benefits from 14 practitioners
Practice locations: Ventura, CA; Oxnard, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1017092Cardiology Associates Med Group Inc1701 Solar Drive Suite 150, Oxnard, CA 93030Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

9535 Reseda Blvd
Northridge, CA 91324
Phone (818) 701-9900

1701 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 278-4020

100 N Brent St
Ste 301
Ventura, CA 93003
Phone (805) 648-2763

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1376641449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101",
            "fax_number": "805-643-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Solar Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930300138",
            "country_code": "US",
            "telephone_number": "805-278-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "JANKE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "805-275-4590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0001490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.