Ensign

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3736 Issued in CA

Legal business name

ENSIGN

Practice address

680 Corte Regalo
Camarillo, CA 93010-9107

Phone

(805) 216-7633

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Steven Arthur Monzon I, PTA

Title

Physical Therapist Assistant

Phone

(805) 216-7633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1508308941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CORTE REGALO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109107",
            "telephone_number": "805-216-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CORTE REGALO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109107",
            "telephone_number": "805-216-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "805-216-7633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Enochs, DNP, APRN, PMHNP-BC
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• Autumn Marie Erickson, M.A.

• Skilled Nursing Facility in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.