Organization Active NPI

Gynecologic Oncology Specialists PC

  • Gynecologic Oncology Physician
  • Ventura, CA
National Provider Identifier
1386770725
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
GYNECOLOGIC ONCOLOGY SPECIALISTS PC
Practice address
2415 E Main St
Ventura, CA 93003-2603
Phone
(805) 869-6223
Fax
(805) 980-1742
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Anne O. Rodriguez, MDNPI 1316929565
Title
President
Phone
(805) 570-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

2415 E Main St
Ventura, CA 93003-2603

Mailing address

315 Meigs Rd Ste A334
Santa Barbara, CA 93109-1900
Phone (805) 570-7799

Other names 1

  • W. MICHAEL HOGAN MD PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011001207 CA Part B Supplier - Clinic/Group Practice 5890710560 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Santa Barbara, CA; Ventura, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2403 Castillo St
Ste 205
Santa Barbara, CA 93105
Phone (805) 642-4830

315 Meigs Rd
Ste A334
Santa Barbara, CA 93109

558 N Ventu Park Rd
Ste A
Thousand Oaks, CA 91320
Phone (805) 498-0240

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1386770725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MEIGS RD STE A334",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091900",
            "telephone_number": "805-570-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032603",
            "telephone_number": "805-869-6223",
            "fax_number": "805-980-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC ONCOLOGY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-570-7799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W. MICHAEL HOGAN MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.