Active NPI
County of Ventura
Doing business as South Oxnard Public Health Clinic
- State or Local Public Health Clinic/Center
- Oxnard, CA
National Provider Identifier
1548799042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- COUNTY OF VENTURA
- Doing business as
- South Oxnard Public Health Clinic
- Practice address
- 2500 S C St # B1
Oxnard, CA 93033-4560 - Phone
- (805) 981-5221
- NPI assigned
- Jun 8, 2017
- Last updated
- Oct 23, 2025
- Organization subpart
- Yes
- Parent organization
- COUNTY OF VENTURA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Chapman
- Title
- Director
- Phone
- (805) 677-5150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | NU | Primary |
Addresses
Primary practice location
2500 S C St # B1
Oxnard, CA 93033-4560
Mailing address
2240 E Gonzales Rd Ste 210
Oxnard, CA 93036-8216
Phone (805) 677-5210
Other names 1
- South Oxnard Public Health Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102002170 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911810171 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oxnard, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- State or Local Public Health Clinic/Center
- Oxnard, CA
- NPI 1134658644
O20190102002170
National Provider Directory
National Provider Directory- Part of
- County of Ventura Area Agency on Aging
Locations
2240 E Gonzales Rd
Oxnard, CA 93036
Phone (805) 981-5101
2500 S C St
#B1
Oxnard, CA 93033
Phone (805) 981-5221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1548799042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E GONZALES RD STE 210",
"city": "OXNARD",
"state": "CA",
"postal_code": "930368216",
"telephone_number": "805-677-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S C ST # B1",
"city": "OXNARD",
"state": "CA",
"postal_code": "930334560",
"telephone_number": "805-981-5221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VENTURA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF VENTURA",
"enumeration_date": "2017-06-08",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-677-5150"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Oxnard Public Health Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "South Oxnard Public Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oxnard, CA
- County of Ventura (Las Islas Family Medical Group)
- County of Ventura (Ventura County Behavioral Health)
- County of Ventura (VCBH - North Oxnard Adult Mental Health)
- County of Ventura (Public Health Services)
- County of Ventura (Mandalay Bay Women & Childrens FQHC)
- County of Ventura (Public Health TCM Program)
- County of Ventura (Magnolia Dental)
- County of Ventura (Magnolia West)
- County of Ventura (Las Islas Family Medical Group FQHC)
- County of Ventura
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.