Ventura County Neurosurgery Associates Medical Group

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A36688 Issued in CA

Legal business name

VENTURA COUNTY NEUROSURGERY ASSOCIATES MEDICAL GROUP

Practice address

168 N Brent St
Suite 408
Ventura, CA 93003-2817

Phone

(805) 643-2179

Fax

(805) 643-0672

NPI assigned

Dec 21, 2012

Last updated

Dec 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moustapha Abou-Samra, M.D.NPI 1194719807

Title

President

Phone

(805) 643-2179

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moustapha Abou-Samra, MD

  • Neurological Surgery Physician
  • Ventura, CA
  • NPI 1194719807
  NPD (past) Authorized official

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1699011569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY NEUROSURGERY ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "ABOU-SAMRA",
        "authorized_official_first_name": "MOUSTAPHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-643-2179",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A36688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ventura County Medical Center
• Ventura County Medical Center Assessment Unit
• Ventura County Medical Center Inpatient Psychiatric Unit (Ventura County Health Care Agency)
• Ventura County Medical Center Psychiatric Unit
• Ventura County Medical Center Psychiatric Unit
• Ventura County Non-Emergency Medical Transportation
• Ventura County Obstetric and Gynecologic Medical Group, Inc
• Ventura County Surgical Associates
• Ventura County Urology Medical Group, Inc
• Ventura Dental Care

• Neurological Surgery Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Neurological Surgery Physician in California

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