Individual provider Active NPI

Vida Parsa, M.D.

  • Psychiatry Physician
  • Oxnard, CA
National Provider Identifier
1669671202
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A106451 Issued in CA
Practice address
1911 Williams Dr Ste 110
Oxnard, CA 93036-2665
Phone
(805) 981-4200
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A106451 CA
Psychiatry Physician 2084P0800X A106451 CA Primary

Addresses

Primary practice location

1911 Williams Dr Ste 110
Oxnard, CA 93036-2665

Mailing address

1911 Williams Dr
Suite 110
Oxnard, CA 93036-2612

Other practice location 1

601 E Daily Dr Ste 110
Camarillo, CA 93010-5838
Phone (805) 485-5051

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711002057 CA Practitioner - Psychiatry 1456686559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106451CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Care Psychiatric Group, Inc Psychiatry PastSince Aug 25, 2019 Accepting new patients
County of Ventura PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 3

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1669671202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR",
            "address_2": "SUITE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362665",
            "telephone_number": "805-981-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Daily Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930105838",
            "country_code": "US",
            "telephone_number": "805-485-5051",
            "fax_number": "805-278-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSA",
        "first_name": "VIDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A106451",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A106451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.