Ventura County Center for Functional Wellness Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A108091 Issued in CA

Legal business name

VENTURA COUNTY CENTER FOR FUNCTIONAL WELLNESS INC

Practice address

4087 Mission Oaks Blvd Ste B
Camarillo, CA 93012-5156

Phone

(805) 484-1077

Fax

(805) 484-1079

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Melanie L Brown

Title

Office Manager

Phone

(805) 484-1077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1508253469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 MISSION OAKS BLVD STE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "805-484-1077",
            "fax_number": "805-484-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 MISSION OAKS BLVD STE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "805-484-1077",
            "fax_number": "805-484-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY CENTER FOR FUNCTIONAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-484-1077"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A108091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Alondra Velazquez
• Cesar Velazquez
• Miriam Velez Sanchez
• Silvia Veloz
• Ventura County Behavioral Health Alcohol & Drug
• Ventura County Center for Regenerative Medicine Inc.
• Ventura County Gastroenterology Medical Group
• Ventura County Office of Education
• Ventura Eye Institute
• Ventura Eye Institute, Inc

• Physical Medicine & Rehabilitation Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.