NPIMap

Organization Active NPI

Pdap of Ventura County, Inc.

  • Community/Behavioral Health Agency
  • Moorpark, CA
National Provider Identifier
1629198684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
56001DN Issued in CA
Legal business name
PDAP OF VENTURA COUNTY, INC.
Practice address
280 Casey Rd
Moorpark, CA 93021-1131
Phone
(805) 482-1265
Fax
(805) 389-5295
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Virginia M. Connell, MFT
Title
Executive Director
Phone
(805) 482-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 56001DN CA Primary

Addresses

Primary practice location

280 Casey Rd
Moorpark, CA 93021-1131

Mailing address

PO Box 3212
Camarillo, CA 93011-3212
Phone (805) 482-1265

Other identifiers 1

IdentifierTypeStateIssuer
5673MedicaidCA

Other names 1

  • Palmer Drug Abuse Program of Ventura County, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Pdap of Ventura County11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

280 Casey Rd
Moorpark, CA 93021
Phone (805) 517-1722

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629198684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3212",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930113212",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CASEY RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211131",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDAP OF VENTURA COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-482-1265",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "56001DN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Drug Abuse Program of Ventura County, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.