Dignity Health Medical Foundation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIGNITY HEALTH MEDICAL FOUNDATION

Doing business as

Dignity Health Medical Group - Ventura County, a service of Dignity He

Practice address

5051 Verdugo Way Ste 100
Camarillo, CA 93012-8681

Phone

(805) 384-8071

Fax

(805) 987-1927

NPI assigned

May 16, 2011

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DIGNITY HEALTH MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Theresa M Hylen

Title

Chief Financial Officer

Phone

(916) 851-2559

Specialties & licenses 1

Addresses

Other names 1

• Dignity Health Medical Group - Ventura County, a service of Dignity He Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Woodland Clinic Med GRP

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jody Lynn Balloch, MD

  • Family Medicine Physician
  • Camarillo, CA
  • NPI 1316929615
  NPD
• Sabrina Carvalho Barata, MD

  • Internal Medicine Physician
  • Camarillo, CA
  • NPI 1255892923
  NPD
• Sabrina Brana, M.D.

  • Internal Medicine Physician
  • Camarillo, CA
  • NPI 1790137388
  NPD
• Cynthia D. Caffrey, MD

  • Internal Medicine Physician
  • Santa Paula, CA
  • NPI 1922156991
  NPD
• Kelly L Calkins, PA

  • Physician Assistant
  • Camarillo, CA
  • NPI 1689823718
  NPD
• Benjamin H Capper, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1437544699
  NPD
• Jacqueline Carlton, PA-C

  • Physician Assistant
  • Santa Paula, CA
  • NPI 1174207435
  NPD
• Lindy Marie Chavez, NP

  • Family Nurse Practitioner
  • Ventura, CA
  • NPI 1669682191
  NPD
• Jian A Chen, M.D.

  • Internal Medicine Physician
  • Santa Paula, CA
  • NPI 1679568612
  NPD
• Imelda De Forest, M.D.

  • Pediatrics Physician
  • Oxnard, CA
  • NPI 1801974084
  NPD
• Robert Dekkers, M.D.

  • Internal Medicine Physician
  • Santa Paula, CA
  • NPI 1821083171
  NPD
• Gary M Deutsch, M.D.

  • Internal Medicine Physician
  • Santa Paula, CA
  • NPI 1932194289
  NPD

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1386937977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742063",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742063",
            "telephone_number": "916-379-2912",
            "fax_number": "916-859-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 VERDUGO WAY STE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128681",
            "telephone_number": "805-384-8071",
            "fax_number": "805-987-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "enumeration_date": "2011-05-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "HYLEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-851-2559"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Medical Group - Ventura County, a service of Dignity He",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dignity Health Medical Group - Ventura County, a service of Dignity He",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria I Dickey, DO
• Lisa Louise Dickson, SPECIAL EDUCATION
• Dignity Health (St. John's Pleasant Valley Hospital)
• Dignity Health (St. John's Pleasant Valley Hospital Pharmacy)
• Dignity Health (St. John's Pleasant Valley Hospital Outpatient Lab)
• Douglas Robert Dill, DDS
• Kayla Dillard
• Dimaano Chiropractic Inc. (Romeo Dimaano, D.C)
• Romeo Eclavea Dimaano, D.C.
• Hailey Raeanne Dingmon

• Multi-Specialty Clinic/Center in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.