Organization Active NPI

Saratoga Clinic

  • Occupational Therapist
  • Ventura, CA
National Provider Identifier
1376774810
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SARATOGA CLINIC
Practice address
1891 Goodyear Avenue
Suite 605
Ventura, CA 93003-8003
Phone
(805) 642-8490
Fax
(805) 659-9955
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Mrs. Janet Arlene Vanduinwyk, LICENSED OCCUPATIONA
Title
Owner/Director
Phone
(805) 642-8490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1891 Goodyear Avenue
Suite 605
Ventura, CA 93003-8003

Mailing address

1891 Goodyear Avenue
Suite 605
Ventura, CA 93003-8003
Phone (805) 642-8490

National Provider Directory

National Provider Directory

Locations

1891 Goodyear Ave
Ste 605
Ventura, CA 93003
Phone (805) 642-8490

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1376774810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 GOODYEAR AVENUE",
            "address_2": "SUITE 605",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038003",
            "telephone_number": "805-642-8490",
            "fax_number": "805-659-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 GOODYEAR AVENUE",
            "address_2": "SUITE 605",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038003",
            "telephone_number": "805-642-8490",
            "fax_number": "805-659-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "VANDUINWYK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "805-642-8490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED OCCUPATIONA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2009; 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.