NPIMap

Organization Active NPI

Academic Family Medicine Clinic-MH

  • Medical Specialty Clinic/Center
  • Ventura, CA
National Provider Identifier
1669730271
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 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
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
VENTURA COUNTY HEALTH CARE AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Ms. Karen Schneweis-Schmidt
Title
Chief Hospital Operations
Phone
(805) 648-9554

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X 050000032 CA
Medical Specialty Clinic/Center 261QM2500X Primary
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

National Provider Directory

National Provider Directory
Tax ID family
Penfield Mtu85 organizations share this tax ID, including this one
Part of
Penfield Mtu

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3291 Loma Vista Rd
Bldg 340
Ventura, CA 93003
Phone (805) 652-6218

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1669730271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012543",
            "telephone_number": "805-641-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "address_2": "BUILDING 340",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-641-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC FAMILY MEDICINE CLINIC-MH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTURA COUNTY HEALTH CARE AGENCY",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "SCHNEWEIS-SCHMIDT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF HOSPITAL OPERATIONS",
        "authorized_official_telephone_number": "805-648-9554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.