Ventura Podiatry Group Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4245 Issued in CA

Legal business name

VENTURA PODIATRY GROUP INC

Practice address

4080 Loma Vista Rd
Suite #D
Ventura, CA 93003-1811

Phone

(805) 650-8333

Fax

(805) 650-8382

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Ward Nordyke, D.P.M

Title

President

Phone

(805) 650-8333

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Todd Matthews, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ventura, CA
  • NPI 1235543166
  NPD (past)
• Lindsay Mae Chandler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1679701429
  NPD (past)
• Ki Joon Choe, DPM

  • Podiatrist
  • Sacaton, AZ
  • NPI 1851516579
  NPD (past)
• Lisa Tommi Levick-Doane, DPM

  • Foot & Ankle Surgery Podiatrist
  • Northbrook, IL
  • NPI 1730491465
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1376819623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LOMA ROAD",
            "address_2": "SUITE D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-650-8333",
            "fax_number": "805-650-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD",
            "address_2": "SUITE #D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-650-8333",
            "fax_number": "805-650-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-650-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PTAN",
            "identifier": "E4245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ventura Orthopedics Medical Group, Inc.
• Ventura Outpatient Surgery, Inc.
• Ventura Pain and Spine Physicians
• Ventura Pelvic Physical Therapy
• Ventura Pharm Inc
• Ventura Post Acute LLC
• Ventura Post Acute LLC
• Ventura Prosthetic & Orthotics, Inc.
• Ventura Pulmonary and Critical Care Medical Group
• Ulises Ventura Rivera

• Foot & Ankle Surgery Podiatrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.