Uscg Airsta Ventura

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

USCG AIRSTA VENTURA

Practice address

190 3Rd Street
Naval Air Station Point Mugu, CA 93042

Phone

(805) 874-3260

NPI assigned

Aug 21, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

USCGAs reported in NPPES

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

Authorized official

Name

Renee R Esham, HS1

Title

Health Services Administrator

Phone

(805) 502-9989

Specialties & licenses 1

Addresses

Part of

Uscg Airsta Ventura

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Uscg

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Alameda, CA
  • NPI 1326100827
  NPPES parent name

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1679451488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 3RD STREET",
            "city": "NAVAL AIR STATION POINT MUGU",
            "state": "CA",
            "postal_code": "93042",
            "telephone_number": "805-874-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 3RD STREET",
            "city": "NAVAL AIR STATION POINT MUGU",
            "state": "CA",
            "postal_code": "93042",
            "telephone_number": "805-874-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG AIRSTA VENTURA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USCG",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "ESHAM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "805-502-9989",
        "authorized_official_credential": "HS1"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.