Individual provider Active NPI

Victoria Sarun, PAC

  • Physician Assistant
  • Newbury Park, CA
National Provider Identifier
1609048347
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 19673 Issued in CA
Practice address
2960 Helen CT
Newbury Park, CA 91320-3120
Phone
(818) 674-3288
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 19673 CA Primary

Addresses

Primary practice location

2960 Helen CT
Newbury Park, CA 91320-3120

Mailing address

800 S Victoria Ave # L4640
Ventura, CA 93009-1715

Other practice location 1

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.sarun@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000208 CA Practitioner - Physician Assistant 9638293095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 19673CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real, Inc CurrentSince Jul 6, 2010 Accepting new patients
County of Ventura Current Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jul 6, 2010 Accepting new patients
County of Ventura CurrentSince Jan 8, 2016 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jan 8, 2016 Accepting new patients

Locations

355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926

1200 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-8293

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Interoperability endpoints

  • Direct secure messaging: victoria.sarun@ventura.cernerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1609048347",
    "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": "930091715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 HELEN CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203120",
            "telephone_number": "818-674-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Channel Islands Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93033",
            "country_code": "US",
            "telephone_number": "805-204-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARUN",
        "first_name": "VICTORIA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 19673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.sarun@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "325 W Channel Islands Blvd",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.