NPIMap

Organization Active NPI

Kevin White MD Inc

  • Pediatrics Physician
  • Ventura, CA
National Provider Identifier
1548552193
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A74767 Issued in CA
Legal business name
KEVIN WHITE MD INC
Practice address
2601 E Main St Ste 200
Ventura, CA 93003
Phone
(805) 643-7500
Fax
(805) 643-7510
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Kevin White, MDNPI 1952495921
Title
Owner/President
Phone
(805) 643-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A74767 CA Primary

Addresses

Primary practice location

2601 E Main St Ste 200
Ventura, CA 93003

Mailing address

2601 E Main St Ste 200
Ventura, CA 93003
Phone (805) 643-7500

Other names 1

  • Sufside Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2660 E Main St
Ste 200
Ventura, CA 93003

2601 E Main St
Ste 200
Ventura, CA 93003
Phone (805) 634-7500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1548552193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-643-7500",
            "fax_number": "805-643-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-643-7500",
            "fax_number": "805-643-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN WHITE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-643-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sufside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sufside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.