Organization Active NPI

St.John'S Pleasant Valley Hospital

  • Special Hospital
  • Camarillo, CA
National Provider Identifier
1679556906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
ST.JOHN'S PLEASANT VALLEY HOSPITAL
Practice address
2309 Antonio Ave
Camarillo, CA 93010-1414
Phone
(805) 389-5853
Fax
(805) 383-7464
NPI assigned
Nov 21, 2005
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
Mrs. Rosa Vazquez, RN
Title
Acne
Phone
(805) 389-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X CA Primary

Addresses

Primary practice location

2309 Antonio Ave
Camarillo, CA 93010-1414

Mailing address

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679556906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 ANTONIO AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101414",
            "telephone_number": "805-389-5853",
            "fax_number": "805-383-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 ANTONIO AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101414",
            "telephone_number": "805-389-5853",
            "fax_number": "805-383-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOHN'S PLEASANT VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "ACNE",
        "authorized_official_telephone_number": "805-389-5853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, 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.