Active NPI
John R Dexter, MD
- Internal Medicine Physician
- Ventura, CA
National Provider Identifier
1710034970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G38860
- Practice address
- 2705 Loma Vista Rd Ste 205
Ventura, CA 93003-1582 - Phone
- (805) 585-3086
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G38860 | CA | Primary |
Addresses
Primary practice location
2705 Loma Vista Rd Ste 205
Ventura, CA 93003-1582
Mailing address
5142 Hollister Ave # 113
Santa Barbara, CA 93111-2526
Phone (805) 696-7923
Other practice location 1
351 S Patterson Ave
Wound Care Center
Santa Barbara, CA 93111-2403
Phone (805) 696-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070410000241 | CA | Practitioner - Physical Medicine and Rehabilitation | 8123092046 | Practice locations: Santa Barbara, CA; Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Loma Linda University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2550 Treasure Dr
Santa Barbara, CA 93105-4148
Phone (805) 687-0701
2705 Loma Vista Rd
Suite 205
Ventura, CA 93003-1582
Phone (805) 585-3086
300 Hot Springs Rd
Santa Barbara, CA 93108-2037
Phone (805) 969-8011
Hospital & facility affiliations
- Mission Home Health of Ventura, LLC
- Assisted Home Care
- Community Memorial Hospital - Ventura
- Community Memorial Hospital - Ojai
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 349 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38860 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- johndexter@hwcc.allscriptsdirect.net
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
dba Community Memorial Health Center
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
dba Community Memorial Hospital - Ojai
- Critical Access Hospital
- Ojai, CA
- NPI 1992876767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1710034970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5142 HOLLISTER AVE # 113",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112526",
"telephone_number": "805-696-7923",
"fax_number": "805-636-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 LOMA VISTA RD STE 205",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031582",
"telephone_number": "805-585-3086"
}
],
"practiceLocations": [
{
"address_1": "351 S Patterson Ave",
"address_2": "Wound Care Center",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931112403",
"country_code": "US",
"telephone_number": "805-696-7920",
"fax_number": "805-696-7921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEXTER",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G38860",
"primary": true
}
],
"identifiers": [],
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.