Organization Active NPI

Ventura Spine Institute, a Medical Corporation

  • Orthopaedic Surgery of the Spine Physician
  • Newbury Park, CA
National Provider Identifier
1407032451
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
VENTURA SPINE INSTITUTE, A MEDICAL CORPORATION
Practice address
974 Via Baron
Newbury Park, CA 91320-6798
Phone
(805) 208-8192
Fax
(805) 273-4282
NPI assigned
Jan 20, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Brian David Rudin, M.D.NPI 1710943527
Title
Medical Director
Phone
(805) 208-8192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

974 Via Baron
Newbury Park, CA 91320-6798

Mailing address

974 Via Baron
Newbury Park, CA 91320-6798
Phone (805) 208-8192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1407032451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 VIA BARON",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206798",
            "telephone_number": "805-208-8192",
            "fax_number": "805-273-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 VIA BARON",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206798",
            "telephone_number": "805-208-8192",
            "fax_number": "805-273-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA SPINE INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "RUDIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-208-8192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.