Active NPI
Joycelyn Vidal, NP
- Women's Health Nurse Practitioner
- Ventura, CA
National Provider Identifier
1477641546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 13163
- Practice address
- 5400 Ralston Street
Ventura, CA 93003 - Phone
- (805) 963-2445
- Fax
- (805) 965-6981
- NPI assigned
- Oct 11, 2006
- Last updated
- May 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 594657 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 13163 | CA | Primary |
Addresses
Primary practice location
5400 Ralston Street
Ventura, CA 93003
Mailing address
5400 Ralston Street
Ventura, CA 93003
Phone (805) 963-2445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN5946570 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 594657 | CA | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1477641546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 RALSTON STREET",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-963-2445",
"fax_number": "805-965-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 RALSTON STREET",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-963-2445",
"fax_number": "805-965-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDAL",
"first_name": "JOYCELYN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "594657",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "13163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "RN5946570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Veterinary Medical and Surgical Group (VMSG)
- Joan Vicente, M.D.
- Victoria Urgent Care Clinic
- Victoria Ventura Assisted Living Community, Inc. (Lexington Assisted Living)
- Victoria Ventura Healthcare LLC (Victoria Care Center)
- Leticia T. Vidales, MA, LMFT
- Irena Sarah Vidito, D.O.
- Bethanne Vidmar, OTD, OTR/L
- Joseph Cook Vielbig, MD
- Noel A Vierma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.