Cardiovascular & Thoracic Surgeons of Ventura County, Apc

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC

Practice address

1700 N Rose Ave
Ste 420
Oxnard, CA 93030-7656

Phone

(805) 988-2033

Fax

(805) 983-6839

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard John Declusin, MD

Title

President

Phone

(805) 988-2033

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Richard J Declusin, MD, PhD, APC Former legal business name

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407803323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 420",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307656",
            "telephone_number": "805-988-2033",
            "fax_number": "805-983-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 420",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307656",
            "telephone_number": "805-988-2033",
            "fax_number": "805-983-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECLUSIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-988-2033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ07779Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard J Declusin, MD, PhD, APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William Bienvenido Caraballo, BA
• Oscar Carazas, MD
• Britney Carbajal-Nguyen, LCSW
• Caroline Rose Card
• Claudio Cardenas, FNP
• Ashlee Cardona, M.A.
• Ivy Cardona
• Care First Enterprises LLC
• Caremeridian, LLC
• Carlos a Tamayo DDS Inc

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.