NPIMap

Organization Active NPI

Penfield Mtu

  • Rehabilitation Clinic/Center
  • Ventura, CA
National Provider Identifier
1740392992
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PENFIELD MTU
Practice address
640 Jazmin Ave
Ventura, CA 93004-1828
Phone
(805) 647-0310
Fax
(805) 659-2671
NPI assigned
Aug 31, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF VENTURAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Laurell Mauro, PTNPI 1730293143
Title
Manager
Phone
(805) 981-5223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

640 Jazmin Ave
Ventura, CA 93004-1828

Mailing address

640 Jazmin Ave
Ventura, CA 93004-1828
Phone (805) 647-0310

National Provider Directory

National Provider Directory
Tax ID family
Penfield Mtu85 organizations share this tax ID, including this one
Part of
Penfield Mtu

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

Locations

640 Jazmin Ave
Ventura, CA 93004
Phone (805) 647-0310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1740392992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JAZMIN AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041828",
            "telephone_number": "805-647-0310",
            "fax_number": "805-659-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JAZMIN AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041828",
            "telephone_number": "805-647-0310",
            "fax_number": "805-659-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENFIELD MTU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF VENTURA",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "LAURELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-981-5223",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "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 Jun 18, 2008; 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.