Active NPI
Stephanie D'Augustine, M.D.
- Pediatrics Physician
- Ventura, CA
National Provider Identifier
1558424440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A72885
- Practice address
- 3291 Loma Vista Rd
Ventura, CA 93003-3099 - Phone
- (805) 677-5299
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A72885 | CA | Primary |
Addresses
Primary practice location
3291 Loma Vista Rd
Ventura, CA 93003-3099
Mailing address
800 S Victoria Ave # L4640
Ventura, CA 93009-7672
Phone (805) 677-5146
Other practice location 1
254 W Harvard Blvd Ste D
Santa Paula, CA 93060-3919
Phone (805) 229-0200
Other practice location 2
2361 E Vineyard Ave
Oxnard, CA 93036-2102
Phone (805) 981-3770
Other practice location 3
258 E Harvard Blvd
Santa Paula, CA 93060-3372
Phone (805) 525-8622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephanie.daugustine@ventura.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72885 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- stephanie.daugustine@ventura.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1558424440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S VICTORIA AVE # L4640",
"city": "VENTURA",
"state": "CA",
"postal_code": "930097672",
"telephone_number": "805-677-5146",
"fax_number": "805-667-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033099",
"telephone_number": "805-677-5299"
}
],
"practiceLocations": [
{
"address_1": "254 W Harvard Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Santa Paula",
"state": "CA",
"postal_code": "930603919",
"country_code": "US",
"telephone_number": "805-229-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2361 E Vineyard Ave",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930362102",
"country_code": "US",
"telephone_number": "805-981-3770",
"fax_number": "805-981-9674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "258 E Harvard Blvd",
"address_purpose": "LOCATION",
"city": "Santa Paula",
"state": "CA",
"postal_code": "930603372",
"country_code": "US",
"telephone_number": "805-525-8622",
"fax_number": "805-525-9452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AUGUSTINE",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2023-11-03",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A72885",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanie.daugustine@ventura.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Cerner Direct Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Information",
"address_1": "3291 Loma Vista Rd",
"city": "Ventura",
"state": "CA",
"country_code": "US",
"postal_code": "930033099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.