Organization Active NPI

County of Ventura

Doing business as Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
National Provider Identifier
1629167457
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
050000032 Issued in CA
Legal business name
COUNTY OF VENTURA
Doing business as
Ventura County Medical Center
Practice address
300 Hillmont Ave
Ventura, CA 93003-1651
Phone
(805) 652-6000
Fax
(805) 648-9561
NPI assigned
Oct 12, 2006
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Theresa Cho, MDNPI 1841353893
Title
Director
Phone
(805) 677-5290

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 050000032 CA
Non-Surgical Family Planning Clinic/Center 261QF0050X 050000032 CA
Infusion Therapy Clinic/Center 261QI0500X 050000032 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 050000032 CA
Adult Mental Health Clinic/Center 261QM0850X 050000032 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 050000032 CA
Multi-Specialty Clinic/Center 261QM1300X 050000032 CA
Medical Specialty Clinic/Center 261QM2500X 050000032 CA
State or Local Public Health Clinic/Center 261QP0905X 050000032 CA
Physical Therapy Clinic/Center 261QP2000X 050000032 CA
Primary Care Clinic/Center 261QP2300X 050000032 CA
Radiology Clinic/Center 261QR0200X 050000032 CA
Mammography Clinic/Center 261QR0206X 050000032 CA
Urgent Care Clinic/Center 261QU0200X 050000032 CA
General Acute Care Hospital 282N00000X 050000032 CA Primary

Addresses

Primary practice location

300 Hillmont Ave
Ventura, CA 93003-1651

Mailing address

800 S Victoria Ave # 4640
Ventura, CA 93009-4615
Phone (805) 648-5993

Other identifiers 15

IdentifierTypeStateIssuer
LAB01063FMedicaidCA
LAB58856FMedicaidCA
GR0072000MedicaidCA
GR0072001MedicaidCA
HSC39008FMedicaidCA
HSD39008FMedicaidCA
025553MedicaidAZ
ZZT39008FMedicaidCA
ZZT49004FMedicaidCA
05S159OtherCAMENTAL HEALTH IN- PATIENT
HSC39008WMedicaidCA
ZZT49008FMedicaidCA
187047MedicaidOR
3004405MedicaidWA
ZZT39008WMedicaidCA

Other names 1

  • Ventura County Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031112000587 CA Part B Supplier - Clinic/Group Practice 7911810171 Receives reassigned benefits from 748 practitioners
40 other NPIs on this enrollment
Practice locations: Ventura, CA; Fillmore, CA; Thousand Oaks, CA; Camarillo, CA; Oxnard, CA; Santa Paula, CA; Simi Valley, CA
O20050809001093 CA Part A Provider - Hospital 7911810171 Practice locations: Ventura, CA; Santa Paula, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629167457. Details of each certification follow.

Hospital certification: CCN 050159

Legal name
COUNTY OF VENTURA
Doing business as
VENTURA COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 12, 2023
Beds
272
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
300 Hillmont Ave
Ventura, CA 93003-1651
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

Care Compare: Hospital

Medicare Care Compare
Listed as
Ventura County Medical CenterCCN 050159 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Sandoval Individual Corporate DirectorChief Deputy Director Apr 3, 2017
W-2 Managing EmployeeChief Deputy Director Apr 3, 2017
County of Ventura Organization, Ventura, CA 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Operational/Managerial Control Aug 18, 2010 100%
William T Foley Individual Corporate DirectorDirector Jan 21, 2019
W-2 Managing EmployeeDirector Jan 21, 2019

Owners & managing parties with NPI records 20

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 20

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Family Medical GroupOxnard, CA, CCN 051173 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 8, 2013
Aug 18, 2010
Conejo Valley Family Medical Group FQHCThousand Oaks, CA, CCN 051179 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 29, 1994
Las Islas Family Medical Group NorthOxnard, CA, CCN 051183 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
Fillmore Family Medical GroupFillmore, CA, CCN 551048 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
John K Flynn Community ClinicOxnard, CA, CCN 051182 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
Las Posas Family Medical GroupCamarillo, CA, CCN 051189 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 19, 2014
Jan 1, 2013
Sierra Vista Family Medical ClinicSimi Valley, CA, CCN 051176 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 8, 2013
Aug 18, 2010
Santa Paula Hospital ClinicSanta Paula, CA, CCN 051180 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
Pediatric Diagnostic CenterVentura, CA, CCN 051186 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 8, 2013
Aug 18, 2010
Santa Paula WestSanta Paula, CA, CCN 051178 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 8, 2013
Moorpark Family Medical GroupMoorpark, CA, CCN 051188 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2008
Mandalay Bay Womens & ChildrensOxnard, CA, CCN 051174 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
Santa Paula Medical ClinicSanta Paula, CA, CCN 051181 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2013
West Ventura Medical ClinicVentura, CA, CCN 051177 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 8, 2013
Aug 18, 2010
Las Islas Family Medical Group IIOxnard, CA, CCN 551063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 24, 2013
Aug 18, 2010
Ventura County Healthcare for the Homeless ProgramVentura, CA, CCN 551141 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 24, 2013
Magnolia WestOxnard, CA, CCN 751047 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 906

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 906

Affiliated clinicians 353

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 353

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1629167457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # 4640",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930094615",
            "telephone_number": "805-648-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6000",
            "fax_number": "805-648-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF VENTURA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-677-5290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "050000032",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "050000032",
            "primary": true
        }
    ],
    "identifiers": [
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            "issuer": null,
            "identifier": "LAB58856F",
            "state": "CA"
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            "code": "05",
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            "issuer": null,
            "identifier": "GR0072000",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0072001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC39008F",
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        },
        {
            "code": "05",
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            "code": "05",
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            "issuer": null,
            "identifier": "025553",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT39008F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT49004F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH IN- PATIENT",
            "identifier": "05S159",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC39008W",
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        {
            "code": "05",
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            "issuer": null,
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004405",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT39008W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ventura County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.