Individual provider Active NPI

Jennifer Hope Hughes, D.O.

  • Pediatrics Physician
  • Ventura, CA
National Provider Identifier
1679806921
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A10820 Issued in CA
Practice address
2953 Telegraph Rd
Ventura, CA 93003-3214
Phone
(805) 652-5252
Fax
(805) 652-0097
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A10820 CA Primary

Addresses

Primary practice location

2953 Telegraph Rd
Ventura, CA 93003-3214

Mailing address

2953 Telegraph Rd
Ventura, CA 93003-3214
Phone (805) 652-5252

Other identifiers 1

IdentifierTypeStateIssuer
72-1561134OtherAZTAX PAYOR ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10820CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 1

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1679806921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033214",
            "telephone_number": "805-652-5252",
            "fax_number": "805-652-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033214",
            "telephone_number": "805-652-5252",
            "fax_number": "805-652-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JENNIFER",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX PAYOR ID",
            "identifier": "72-1561134",
            "state": "AZ"
        }
    ],
    "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 Jul 19, 2013; 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.