Individual provider Active NPI

Virna Tehre Merino Landron, M.S.

  • Clinical Psychologist
  • Oxnard, CA
National Provider Identifier
1396937843
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25194 Issued in CA
Practice address
1911 Williams Dr
Oxnard, CA 93036-2612
Phone
(805) 666-9032
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1846 PR
Clinical Psychologist 103TC0700X PSY25194 CA Primary

Addresses

Primary practice location

1911 Williams Dr
Oxnard, CA 93036-2612

Mailing address

3652 Jellyfish LN
Oxnard, CA 93035-3049
Phone (805) 666-9032

Other practice location 1

3A Calle Acuarela
Edificio KOI, Urb. Munoz Rivera
Guaynabo, PR 00969
Phone (939) 642-6925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031003221 CA Practitioner - Clinical Psychologist 0244562767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 654-3306

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PSY25194CAMDClinical Psychologist
25194CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Apr 1, 2019 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura Current Accepting new patients
Blossom Professional Psychology Corporation CurrentSince Mar 16, 2021 Accepting new patients
Ventura County Surgical Associates CurrentSince Jul 1, 2021 Accepting new patients

Locations

1911 Williams Dr
Oxnard, CA 93036
Phone (805) 981-4200

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

800 S Victoria Ave
#L4640
Ventura, CA 93009

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1396937843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 JELLYFISH LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930353049",
            "telephone_number": "805-666-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-666-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3A Calle Acuarela",
            "address_2": "Edificio KOI, Urb. Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00969",
            "country_code": "US",
            "telephone_number": "939-642-6925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERINO LANDRON",
        "first_name": "VIRNA",
        "middle_name": "TEHRE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "1846",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.