Organization Active NPI

Ventura County Community College District

  • Local Education Agency (LEA)
  • Moorpark, CA
National Provider Identifier
1750873113
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
VENTURA COUNTY COMMUNITY COLLEGE DISTRICT
Practice address
7075 Campus Rd
Moorpark, CA 93021-1605
Phone
(805) 378-1413
Fax
(805) 378-1570
NPI assigned
Jun 1, 2018
Organization subpart
Yes
Parent organization
VENTURA COUNTY COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Sharon L Manakas, MSN, RN
Title
Director, Students Health Program
Phone
(805) 378-1413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

7075 Campus Rd
Moorpark, CA 93021-1605

Mailing address

7075 Campus Road
Student Health Services
Moorpark, CA 93021-1605
Phone (805) 378-1413

Other names 1

  • Moorpark College, Student Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0870677Moorpark College Student Health Center7075 Campus Road, Moorpark, CA 93021Provider-performed microscopyMar 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ventura County Community College District3 organizations share this tax ID, including this one
Part of
Ventura County Community College District

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7075 Campus Rd
Moorpark, CA 93021
Phone (805) 378-1413

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1750873113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS ROAD",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211605",
            "telephone_number": "805-378-1413",
            "fax_number": "805-378-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211605",
            "telephone_number": "805-378-1413",
            "fax_number": "805-378-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTURA COUNTY COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MANAKAS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, STUDENTS HEALTH PROGRAM",
        "authorized_official_telephone_number": "805-378-1413",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorpark College, Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.