Robert E. Feiss, M.D.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

W17289 Issued in CA

Legal business name

ROBERT E. FEISS, M.D.

Practice address

7770 Telegraph Rd
Ste E221
Ventura, CA 93004-1570

Phone

(888) 362-2968

Fax

(805) 642-1133

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jill Brunkan

Title

Office Manager

Phone

(888) 362-2968

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1437348778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 TELEGRAPH RD",
            "address_2": "STE E221",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041570",
            "telephone_number": "888-362-2968",
            "fax_number": "805-642-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 TELEGRAPH RD",
            "address_2": "STE E221",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041570",
            "telephone_number": "888-362-2968",
            "fax_number": "805-642-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. FEISS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BRUNKAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "888-362-2968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "W17289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Ventura, CA
• Providers in Ventura, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.