NPIMap

Organization Active NPI

Ventura Anka MD Site

  • Community/Behavioral Health Agency
  • Ventura, CA
National Provider Identifier
1699057570
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VENTURA ANKA MD SITE
Practice address
300 Hillmont Ave
Ventura, CA 93003-1651
Phone
(805) 641-5745
Fax
(805) 641-5727
NPI assigned
Sep 15, 2011
Last updated
Jul 30, 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 Jul 30, 2012

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

Authorized official

Name
Dr. Rober Gonzalez, MD
Title
Director
Phone
(805) 677-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

300 Hillmont Ave
Ventura, CA 93003-1651

Mailing address

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5745

Other identifiers 1

IdentifierTypeStateIssuer
56BVMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Oxnard Satellite Clinic85 organizations share this tax ID, including this one
Part of
Oxnard Satellite Clinic

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1699057570",
    "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",
            "fax_number": "805-641-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-641-5745",
            "fax_number": "805-641-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ANKA MD SITE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTURA COUNTY HEALTH CARE AGENCY",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROBER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-677-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56BV",
            "state": "CA"
        }
    ],
    "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 30, 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.