Passages Silver Strand, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

560036AP Issued in CA

Legal business name

PASSAGES SILVER STRAND, LLC

Doing business as

Passages Ventura

Practice address

224 E Clara St
Port Hueneme, CA 93041-2732

Phone

(805) 283-4737

Fax

(805) 488-9000

NPI assigned

Jul 15, 2009

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Jo Mahoney

Title

Coo

Phone

(310) 589-2880

Specialties & licenses 1

Addresses

Other names 1

• Passages Ventura Doing business as

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

CLIA laboratory certificates

Tax ID family

Passages Silver Strand LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Passages Silver Strand, LLC

  • Substance Abuse Rehabilitation Facility
  • Port Hueneme, CA
  • NPI 1104551837
  NPD tax ID

Locations

Practitioners 3

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.

• Darren Lipshitz, MD

  • Addiction Medicine (Family Medicine) Physician
  • Santa Barbara, CA
  • NPI 1528057130
  NPD (past)
• Atman Ranii Reyes, MD INC

  • Psychiatry Physician
  • Moorpark, CA
  • NPI 1033228382
  NPD (past)
• Mildred Elinore Schlimgen, LPT

  • Substance Abuse Rehabilitation Facility
  • Camarillo, CA
  • NPI 1932304391
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1770713497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MARKET ST",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413218",
            "telephone_number": "805-283-4737",
            "fax_number": "805-488-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E CLARA ST",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412732",
            "telephone_number": "805-283-4737",
            "fax_number": "805-488-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES SILVER STRAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-589-2880"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "560036AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passages Ventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Stephany Oliva
• Antonia Maria Ortiz
• Julio Cesar Ortiz, INDEPENDENT DUTY HM
• Our Lady of Guadalupe
• Passages Silver Strand, LLC
• Omar A Perea, M.A.
• Tuyen T Pham, PHD
• Ida Pirali
• Nickolas Vincent Ponce, IDC
• Ceferino Salcedo Quizon, M.D

• Substance Abuse Rehabilitation Facility in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.