Active NPI
Primary Medical Group of Ventura County Inc
- Registered Dietitian
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 881077
- Legal business name
- PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC
- Practice address
- 2772 Johnson Dr
Ste 200
Ventura, CA 93003-8582 - Phone
- (805) 642-1430
- Fax
- (805) 642-1436
- NPI assigned
- Mar 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Jacob Banman, M.D.
- Title
- President
- Phone
- (805) 642-1430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 881077 | CA | Primary |
Addresses
Primary practice location
2772 Johnson Dr
Ste 200
Ventura, CA 93003-8582
Mailing address
2772 Johnson Dr
Ste 200
Ventura, CA 93003-8582
Phone (805) 642-1430
National Provider Directory
National Provider Directory- Tax ID family
- Ojai Valley Family Medicine Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Ojai, CA
- NPI 1346065976
Locations
2772 Johnson Dr
Ste 200
Ventura, CA 93003
Phone (805) 642-1430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1538183116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1740673011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2772 JOHNSON DR",
"address_2": "STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930038582",
"telephone_number": "805-642-1430",
"fax_number": "805-642-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2772 JOHNSON DR",
"address_2": "STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930038582",
"telephone_number": "805-642-1430",
"fax_number": "805-642-1436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "BANMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-642-1430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "881077",
"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 Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.