Active NPI
Joan Vicente, M.D.
- Family Medicine Physician
- Ventura, CA
National Provider Identifier
1780791939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301083535
- Practice address
- 200 S Wells Rd
Suite 200
Ventura, CA 93004-1377 - Phone
- (805) 659-1740
- Fax
- (805) 659-9959
- NPI assigned
- Aug 24, 2006
- Last updated
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301083535 | MI | Primary |
Addresses
Primary practice location
200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Mailing address
200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Phone (805) 659-1740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630664 | Medicaid | MI |
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 |
|---|---|---|---|---|
| I20070606000117 | CA | Practitioner - Family Practice | 9638277262 | Practice locations: Oxnard, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1200 N Ventura Rd H
Oxnard, CA 93030-3827
Phone (805) 983-0933
Hospital & facility affiliations
- Unlimited Care Home Health, Inc.
- Caremax Home Health
- Professional Care Home Health Services Inc
- Lifelink Health Providers, Inc
- Nexus Home Health, Inc
- St Johns Regional Medical Center
- Glenwood Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083535 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth C Imperial MD PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Oxnard, CA
- NPI 1982579249
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glenwood Care Center
- Skilled Nursing Facility
- Oxnard, CA
- NPI 1619976131
Nursing home
-
dba Caremax Home Health
- Home Health Agency
- Simi Valley, CA
- NPI 1548651961
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
- Home Health Agency
- Glendora, CA
- NPI 1790980969
-
- Home Health Agency
- Simi Valley, CA
- NPI 1184725004
-
- Home Health Agency
- Camarillo, CA
- NPI 1568124055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1780791939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "JOAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301083535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4630664",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Prashant Verma, M.D.
- Sanjiv Verma, M.D.
- Vimal Vermani, M.D.
- Veterans Home of Ca Ventura
- Veterinary Medical and Surgical Group (VMSG)
- Victoria Urgent Care Clinic
- Victoria Ventura Assisted Living Community, Inc. (Lexington Assisted Living)
- Victoria Ventura Healthcare LLC (Victoria Care Center)
- Joycelyn Vidal, NP
- Leticia T. Vidales, MA, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.