NPIMap

Individual provider Active NPI

David Wayne Crownover, MD, DC

  • Obstetrics & Gynecology Physician
  • Port Hueneme, CA
National Provider Identifier
1376654566
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-4071 Issued in AR
Practice address
321 E PT Hueneme Road
Port Hueneme, CA 93041-3222
Phone
(805) 652-4267
Fax
(805) 652-4288
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-4071 AR Primary

Addresses

Primary practice location

321 E PT Hueneme Road
Port Hueneme, CA 93041-3222

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Other identifiers 2

IdentifierTypeStateIssuer
200032780AMedicaidOK
154854001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000427 CA Practitioner - Obstetrics/Gynecology 2163409855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

138 W Main St
Suite E
Ventura, CA 93001-2584
Phone (805) 667-2850

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4071ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Nov 1, 2011 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Nov 1, 2011 Accepting new patients
Siloam Springs Women'S Center Obstetrics & Gynecology Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

Interoperability endpoints

  • Direct secure messaging: davidcrownover@cfh.allscriptsdirect.net
  • Direct secure messaging: dcrownover3518351@oc.providencedirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1376654566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E PT HUENEME ROAD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413222",
            "telephone_number": "805-652-4267",
            "fax_number": "805-652-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWNOVER",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032780A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154854001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

Verify at the official NPI Registry.