Dr. Sally Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DR. SALLY PEDIATRICS

Practice address

3454 Loma Vista Rd
Ventura, CA 93003-3026

Phone

(805) 918-1876

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Sally J Smith, MDNPI 1104971746

Title

Owner/ President

Phone

(805) 918-1876

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sally Jean Smith, M.D.

  • Pediatrics Physician
  • Ventura, CA
  • NPI 1104971746
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1558041590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VIA MAGNOLIA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206966",
            "telephone_number": "805-217-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033026",
            "telephone_number": "805-918-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SALLY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "805-918-1876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Carey B. Poultney, O.D., a Professional Optometric Corporation
• Dr. Elena B Dental Corporation
• Dr. Jill Huang Psychological Services Inc
• Dr. Michelle Takase-Sanchez PC
• Dr. Nadia Emen, LLC
• Dr. Terry L. Cole
• Zara Dragoo, SLP
• Barry Patrick Drap, RN
• Christopher Jon Dregne, ACSW
• Judith Driscoll, R.N.

• Pediatrics Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.