NPIMap

Organization Active NPI

County of Ventura

Doing business as Moorpark Family Medical Group / CSUCI

  • Student Health Clinic/Center
  • Camarillo, CA
National Provider Identifier
1447659933
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
COUNTY OF VENTURA
Doing business as
Moorpark Family Medical Group / CSUCI
Practice address
1 University Dr
Camarillo, CA 93012-8599
Phone
(805) 437-8828
Fax
(805) 437-8829
NPI assigned
Aug 20, 2014
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
VENTURA COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Johnson Gill
Title
Ceo
Phone
(805) 677-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1 University Dr
Camarillo, CA 93012-8599

Mailing address

800 S Victoria Ave # L4615
Ventura, CA 93009-0003
Phone (805) 677-5210

Other names 1

  • Moorpark Family Medical Group / CSUCI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Ventura Area Agency on Aging85 organizations share this tax ID, including this one
Part of
County of Ventura Area Agency on Aging

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1 University Dr
Camarillo, CA 93012
Phone (805) 437-8828

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": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1447659933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # L4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930090003",
            "telephone_number": "805-677-5210",
            "fax_number": "805-677-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128599",
            "telephone_number": "805-437-8828",
            "fax_number": "805-437-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF VENTURA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTURA COUNTY MEDICAL CENTER",
        "enumeration_date": "2014-08-20",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-677-5272"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorpark Family Medical Group / CSUCI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moorpark Family Medical Group / CSUCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.