NPIMap

Organization Active NPI

Ojai Valley Community Medical Group

  • Contractor
  • San Dimas, CA
National Provider Identifier
1447380597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
171W00000X Issued in CA
Legal business name
OJAI VALLEY COMMUNITY MEDICAL GROUP
Practice address
955 Overland CT FL 2
San Dimas, CA 91773-1718
Phone
(909) 971-6713
Fax
(909) 971-6763
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey McManus, MDNPI 1376690586
Title
Medical Director
Phone
(805) 646-6406

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
Contractor 171W00000X 171W00000X CA Primary

Addresses

Primary practice location

955 Overland CT FL 2
San Dimas, CA 91773-1718

Mailing address

PO Box 5010
Covina, CA 91723-0016
Phone (909) 971-6713

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447380597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917230016",
            "telephone_number": "909-971-6713",
            "fax_number": "909-971-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 OVERLAND CT FL 2",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731718",
            "telephone_number": "909-971-6713",
            "fax_number": "909-971-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJAI VALLEY COMMUNITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-646-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "171W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • 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.