Academic Family Medicine Clinic-MH
Organization Active NPI Medical Specialty Clinic/Center · Ventura, CA
NPI 1669730271 · NPPES record last updated Jun 5, 2012
Key facts
- NPI
- 1669730271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- ACADEMIC FAMILY MEDICINE CLINIC-MH
- Practice address
- 3291 Loma Vista Rd
Building 340
Ventura, CA 93003-3099 - Phone
- (805) 641-5745
- NPI assigned
- May 2, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- VENTURA COUNTY HEALTH CARE AGENCY
Authorized official
- Name
- Ms. Karen Schneweis-Schmidt
- Title
- Chief Hospital Operations
- Phone
- (805) 648-9554
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Penfield Mtu
- Part of
- Penfield Mtu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | 050000032 | CA | |
| Medical Specialty Clinic/Center | 261QM2500X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
3291 Loma Vista Rd
Building 340
Ventura, CA 93003-3099
Mailing address
133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5745
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- Eleanor Abiva
- Moustapha Abou-Samra
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- Samantha Accornero
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All providers in Ventura, CA · Medical Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.