Derek Oliver
Individual provider Active NPI Physician Assistant · Ventura, CA
NPI 1386153237 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1386153237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 54952 (CA)
- Practice address
- 300 Hillmont Ave
Ventura, CA 93003-1651 - Phone
- (805) 652-6000
- NPI assigned
- Sep 22, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Ventura
Practice addresses (Care Compare)
300 Hillmont Ave
Ventura, CA 93003-1651
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171103002598 | CA | Practitioner - Physician Assistant | 8123384369 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54952 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current |
Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current | Accepting new patients |
Locations
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600
133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54952 | CA | Yes |
Addresses
Primary practice location
300 Hillmont Ave
Ventura, CA 93003-1651
Mailing address
PO Box 1108
Thousand Oaks, CA 91358-0108
Phone (805) 300-1242
Other practice location 1
133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | derek.oliver@ventura.cernerdirect.com | Direct |
Other providers in Ventura, CA
- Sarah Ann Olaguez
- Gabrielle Lena Olcott
- Mariafe De Luna Olipani
- Christina M.L Olivares
- Olive-Med Supply Co. Inc.
- Lindsay Oliver
- Sonia Olivera
- Corinna Olivieri
- Mariela Olmedo
- Adam W Olsen
All providers in Ventura, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.