Individual provider Active NPI

Jordana Dean Kaban, DO

  • Emergency Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1457511917
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A12828 Issued in CA
Practice address
825 N 10TH St
Santa Paula, CA 93060
Phone
(805) 933-8663
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 248902 NY
Emergency Medicine Physician 207P00000X 20A12828 CA Primary

Addresses

Primary practice location

825 N 10TH St
Santa Paula, CA 93060

Mailing address

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6162

Other practice location 1

Building 588, M/C 7002
Santa Barbara, CA 93106
Phone (805) 893-5361

Other practice location 2

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12828CAMDEmergency Medicine Physician
248902NYMDEmergency Medicine Physician
12828CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Nov 4, 2013 Accepting new patients
Ojai Emergency Physicians Corporation Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Seaside Emergency Associates Emergency Medicine CurrentSince Jan 4, 2015 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Nov 4, 2013 Accepting new patients
University Health Physicians Emergency Medicine Past Accepting new patients

Locations

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1457511917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "93060",
            "telephone_number": "805-933-8663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Building 588, M/C 7002",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "93106",
            "country_code": "US",
            "telephone_number": "805-893-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93003",
            "country_code": "US",
            "telephone_number": "805-652-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABAN",
        "first_name": "JORDANA",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "248902",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A12828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.